Capital District Orthotic Group

Organization Active NPI General Practice Physician · Niskayuna, NY

NPI 1609074244 · NPPES record last updated Sep 12, 2008

Key facts

NPI
1609074244
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
180400-1 (NY)
Legal business name
CAPITAL DISTRICT ORTHOTIC GROUP
Practice address
2341 Nott St E
Ste 201
Niskayuna, NY 12309-4332
Phone
(518) 370-3338
Fax
(518) 344-1229
NPI assigned
Jul 5, 2007
Organization subpart
No

Authorized official

Name
Robert Michael Rattner, M.D.
Title
President
Phone
(518) 370-3338

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Capital District Orthotic Group (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 180400-1 NY Yes

Addresses

Primary practice location

2341 Nott St E
Ste 201
Niskayuna, NY 12309-4332

Mailing address

2341 Nott St E
Ste 201
Niskayuna, NY 12309-4332
Phone (518) 370-3338

Other identifiers

IdentifierTypeStateIssuer
1609074244OtherNYNPI

Other providers in Niskayuna, NY

All providers in Niskayuna, NY · General Practice Physician in New York

Sources for this page

Verify at the official NPI Registry.