Provider Type Icon

CAPITAL DISTRICT GASTROENTEROLOGY & LIVER DISEASE PC NPI 1710197058


NPI Information

NPI: 1710197058
Provider Name: CAPITAL DISTRICT GASTROENTEROLOGY & LIVER DISEASE, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1 S PINE AVE
ALBANY, NY
ZIP 12208
Phone: (518) 489-7491
Get Directions

CAPITAL DISTRICT GASTROENTEROLOGY & LIVER DISEASE, PC is a general practice in Albany, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAPITAL DISTRICT GASTROENTEROLOGY & LIVER DISEASE, PC NPI is 1710197058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 S PINE AVE
ALBANY, NY
ZIP 12208-212
Phone: (518) 489-7491
Fax: (518) 489-3439

The provider's authorized official is James H. Puleo .
The authorized official title is President and has the following contact phone number (518) 489-7491.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 2/5/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice088175-1NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100510292MEDICAIDNEW YORK
233603AMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3D01986MEDICARE UPINNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.