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CARONDELET REGIONAL MEDICAL PC NPI 1861939944


NPI Information

NPI: 1861939944
Provider Name: CARONDELET REGIONAL MEDICAL, PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3768 STATE HIGHWAY 30
BROADALBIN HEALTH CENTER
BROADALBIN, NY
ZIP 12025
Phone: (518) 883-3121
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CARONDELET REGIONAL MEDICAL, PC is a general practice in Broadalbin, 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 CARONDELET REGIONAL MEDICAL, PC NPI is 1861939944. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3768 STATE HIGHWAY 30
BROADALBIN HEALTH CENTER
BROADALBIN, NY
ZIP 12025-923
Phone: (518) 883-3121
Fax: (518) 883-8268

The provider's authorized official is Ronald N Marsh .
The authorized official title is President and has the following contact phone number (518) 843-6914.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 5/22/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208600000XSurgeryNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5208D00000XGeneral PracticeYes

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.