CAPITAL REGION FOOT CARE PLLC NPI 1114978038

NPI Information

NPI: 1114978038
Provider Name: CAPITAL REGION FOOT CARE PLLC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
104 HACKETT BLVD
ALBANY, NY
ZIP 12209
Phone: (518) 465-3515
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CAPITAL REGION FOOT CARE PLLC is a foot surgery podiatrist in Albany, NY. CAPITAL REGION FOOT CARE PLLC NPI is 1114978038. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 HACKETT BLVD
ALBANY, NY
ZIP 12209-525
Phone: (518) 465-3515
Fax: (518) 465-9859

The provider's authorized official is Marc D Ginsburg .
The authorized official title is Podiatrist and has the following contact phone number (518) 465-3515.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 12/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	3861	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	AA0358	MEDICARE ID-TYPE UNSPECIFIED
2	00873872	MEDICAID	NEW YORK
3	T26628	MEDICARE UPIN
4	0884640001	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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