Organization · NPI-2

Capital Region Foot Care PLLC

· Albany, NY

NPI number1114978038
StatusActive
Last updated in NPPESSep 18, 2026

Details

NPI
1114978038
Entity type
Organization (NPI-2)
Legal business name
Capital Region Foot Care PLLC
Organization subpart
No
Enumeration date
May 15, 2006
Certification date
Sep 18, 2026
Last updated
Sep 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 3861NYYes

Practice location

104 Hackett Blvd
Albany, NY 12209-1525

Phone 518-465-3515 · Fax 518-465-9859

Mailing address

104 Hackett Blvd
Albany, NY 12209-1525

Phone 518-465-3515 · Fax 518-465-9859

Authorized official

Steven Lam
Podiatrist
5184653515

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