Individual provider · NPI-1

Charles Joseph Buttaci, DO

Pain Medicine, Interventional Pain Medicine · Albany, NY

NPI number1962482901
StatusActive
Last updated in NPPESJul 16, 2025

Details

NPI
1962482901
Entity type
Individual (NPI-1)
Name
Charles Joseph Buttaci
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jan 17, 2006
Certification date
Jul 16, 2025
Last updated
Jul 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine243189NYYes
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine243189NY

Practice location

121 Everett Rd
Albany, NY 12205-1474

Phone 518-489-2663 · Fax 518-689-3881

Mailing address

121 Everett Rd
Albany, NY 12205-1474

Phone 518-489-2663 · Fax 518-689-3881

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