KSP HEALTH - NY LLC NPI 1740050608

NPI Information

  • NPI: 1740050608
  • Provider Name: KSP HEALTH - NY LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 418 BROADWAY STE R
    ALBANY, NY
    ZIP 12207
  • Phone: (234) 260-6212

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NPI Details

KSP HEALTH - NY LLC is a pediatrics in Albany, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. KSP HEALTH - NY LLC NPI is 1740050608. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

418 BROADWAY STE R
ALBANY, NY
ZIP 12207-922
Phone: (234) 260-6212

The provider's authorized official is Muthukumar Vellaichamy .
The authorized official title is Owner and has the following contact phone number (234) 260-6212.

The enumeration date for this NPI number is 1/3/2024 and was last updated on 1/3/2024.

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
1163WP0200XRegistered NursePediatricsNo
2207NP0225XDermatologyPediatric DermatologyNo
32080A0000XPediatricsAdolescent MedicineNo
42080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
52080P0202XPediatricsPediatric CardiologyNo
62080P0203XPediatricsPediatric Critical Care MedicineNo
7208000000XPediatricsYes

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: 3/30/2025

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