| Dr Michael A Depetrillo Jr, MD | |
|
1201 Nott St, Suite 106, Schenectady, NY 12308-2589 | |
| (518) 374-3123 | |
| (518) 374-9711 |
| Full Name | Dr Michael A Depetrillo Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1201 Nott St, Schenectady, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497755441 | NPI | - | NPPES |
| 05104 | Other | MVP | |
| 040426006657 | Other | FIDELIS | |
| MD000A2810 | Other | EMPIRE BLUE CROSS | |
| 000405064003 | Other | BLUE SHIELD NENY | |
| 127532-1 | Other | TRICARE NORTH REGION | |
| 000405064002 | Other | BLUE SHIELD NENY | |
| 00392847 | Medicaid | NY | |
| 00A28 | Other | EMPIRE BLUE CROSS | |
| 110160500 | Other | US DEPT OF LABOR | |
| 9599341 | Other | GHI | |
| CAN1275320 | Other | NO FAULT | |
| 10000479 | Other | CDPHP | |
| CAN1275320 | Other | WORKERS COMP | |
| MD000A2820 | Other | EMPIRE BLUE CROSS | |
| 000000097790 | Other | GHI HMO | |
| 33570P | Other | FIDELIS MEDICARE | |
| D01979 | Other | AMERICAN PROGRESSIVE TODA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 127532-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Depetrillo Jr, MD 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 Ph: (518) 374-3123 | Dr Michael A Depetrillo Jr, MD 1201 Nott St, Suite 106, Schenectady, NY 12308-2589 Ph: (518) 374-3123 |
Dr. Michael S Goldstoff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Dr. Robert A Crafts, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Dr. Elyse S Pearson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Mr. Nicholas A Quaranta, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1201 Nott St Ste 106, Schenectady, NY 12308 Phone: 518-374-3123 | |
Dr. David D Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
John R Brooks, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 | |
Dr. Eric D Moses, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1201 Nott St, Suite 106, Schenectady, NY 12308 Phone: 518-374-3123 Fax: 518-374-9711 |