UPSTATE GASTROENTEROLOGY ASSOCIATES PC NPI 1255355830

NPI Information

NPI: 1255355830
Provider Name: UPSTATE GASTROENTEROLOGY ASSOCIATES, PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 33D0900040

Address:
2200 BURDETT AVE
TROY, NY
ZIP 12180
Phone: (518) 272-0234
Get Directions

UPSTATE GASTROENTEROLOGY ASSOCIATES, PC is a gastroenterology internal medicine in Troy, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. UPSTATE GASTROENTEROLOGY ASSOCIATES, PC NPI is 1255355830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 BURDETT AVE
TROY, NY
ZIP 12180-451
Phone: (518) 272-0234
Fax: (518) 272-0906

The provider's authorized official is Frederick M Braunstein .
The authorized official title is Ceo and has the following contact phone number (518) 272-1199.

The CLIA number assigned to this NPI record is 33D0900040 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 5/9/2011.

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	207RG0100X	Internal Medicine	Gastroenterology			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	Other Provider Identifier Issuer
1	CC9024	OTHER	NEW YORK	RAILROAD MEDICARE
2	50266A	MEDICARE PIN	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

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.

« Previous NPI

Next NPI »