MARIUS KILLIAN NIKOLAS DITURSI MD PC NPI 1417391319

NPI Information

NPI: 1417391319
Provider Name: MARIUS KILLIAN NIKOLAS DITURSI MD PC

Former Legal Business Name: MARY KATHLEEN W DITURSI MD PC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
127 CANVASS ST
COHOES, NY
ZIP 12047
Phone: (518) 233-9500
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MARIUS KILLIAN NIKOLAS DITURSI MD PC is a primary care clinic center in Cohoes, NY. MARIUS KILLIAN NIKOLAS DITURSI MD PC NPI is 1417391319. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mary Kathleen W Ditursi Md Pc.

The provider's business location address is:

127 CANVASS ST
COHOES, NY
ZIP 12047-030
Phone: (518) 233-9500
Fax: (518) 660-0770

The provider's authorized official is Marius Killian Nikolas Ditursi .
The authorized official title is Owner, President and has the following contact phone number (518) 233-9500.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 7/24/2023.

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	261QP2300X	Clinic/Center	Primary Care	263723	NEW YORK	Yes

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: 5/5/2024

NPI Synchronization or Removal

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