Organization · NPI-2
Capital District Orthotic Group
Prosthetic/Orthotic Supplier · Albany, NY
NPI number1972754380
StatusActive
Last updated in NPPESOct 15, 2008
Details
- NPI
- 1972754380
- Entity type
- Organization (NPI-2)
- Legal business name
- Capital District Orthotic Group
- Organization subpart
- No
- Enumeration date
- Oct 3, 2008
- Last updated
- Oct 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
| 208D00000X | General Practice | 180400-1 | NY |
Practice location
1540 Central AveAlbany, NY 12205-5052
Phone 518-608-6852 · Fax 518-344-1229
Mailing address
2341 Nott St ESuite 201
Niskayuna, NY 12309-4332
Phone 518-370-3338 · Fax 518-344-1229
Authorized official
Robert Michael Rattner
President
5183703338
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