CAPITAL DISTRICT ORTHOTIC GROUP NPI 1912233065

NPI Information

CAPITAL DISTRICT ORTHOTIC GROUP is a general practice in Schenectady, 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 ORTHOTIC GROUP NPI is 1912233065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

624 MCCLELLAN ST
STE G05
SCHENECTADY, NY
ZIP 12304-020
Phone: (518) 370-3338
Fax: (518) 344-1229

The provider's authorized official is Robert Rattner .
The authorized official title is President and has the following contact phone number (518) 370-3338.

The CLIA number assigned to this NPI record is 33D1041013 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2009 and was last updated on 10/26/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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