Organization · NPI-2

Capital District Interventional Spine & Rehabilitation, PLLC

Physical Medicine & Rehabilitation · Albany, NY

NPI number1497054498
StatusActive
Last updated in NPPESMar 17, 2011

Details

NPI
1497054498
Entity type
Organization (NPI-2)
Legal business name
Capital District Interventional Spine & Rehabilitation, PLLC
Organization subpart
No
Enumeration date
Mar 17, 2011
Last updated
Mar 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation251596NYYes

Practice location

63 Shaker Rd
Albany, NY 12204-1030

Phone 518-487-4093 · Fax 518-487-4102

Mailing address

63 Shaker Rd
Albany, NY 12204-1030

Phone 518-487-4093 · Fax 518-487-4102

Authorized official

Syed A. Hasan
M.D./Owner
5184874093

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