Keith Algozzine, PA
Individual provider Active NPI Physician Assistant · Troy, NY
NPI 1295783249 · NPPES record last updated Jun 11, 2008
Key facts
- NPI
- 1295783249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 009365 (NY)
- Practice address
- 1300 Massachusetts Ave
Troy, NY 12180-1628 - Phone
- (518) 268-5338
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009365 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Concierge Medicine PLLC | Current |
Accepting new patients | |
| Island Medical Empire State, PLLC | Physician Assistant | Past | Accepting new patients |
| Columbia Emergency Services, PC | Past | Accepting new patients |
Locations
216 River St
Ste 3
Troy, NY 12180
Phone (844) 484-7362
Interoperability endpoints
- keith.algozzine_2859@2859.securemail.prognocis.com
- kalgozzine@1755.securemail.prognocis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 009365 | NY | Yes |
Addresses
Primary practice location
1300 Massachusetts Ave
Troy, NY 12180-1628
Mailing address
PO Box 10730
Westminster, CA 92685-0730
Phone (562) 809-3548
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.