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Waduda Amantullah

Specialist in Albany, NY. Individual provider (NPI-1).

NPI number1477458792
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1477458792
Entity type
Individual (NPI-1)
Name
Waduda Amantullah
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 8, 2026
Certification date
Oct 8, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist–NYYes

Practice location

10b Madison Avenue Ext
Albany, NY 12203-7314

Phone 518-867-3061

Mailing address

10b Madison Avenue Ext
Albany, NY 12203-7314

Phone 518-867-3061

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