| Capital District Orthotic Group | |
|
1540 Central Ave Albany NY 12205-5052 | |
| (518) 608-6852 | |
| (518) 344-1229 |
| Full Name | Capital District Orthotic Group |
|---|---|
| Speciality | Prosthetic/orthotic Supplier |
| Location | 1540 Central Ave, Albany, New York |
| Authorized Official Name and Position | Robert Michael Rattner (PRESIDENT) |
| Authorized Official Contact | 5183703338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital District Orthotic Group 2341 Nott St E Suite 201 Niskayuna NY 12309-4332 Ph: (518) 370-3338 | Capital District Orthotic Group 1540 Central Ave Albany NY 12205-5052 Ph: (518) 608-6852 |
| NPI Number | 1972754380 |
|---|---|
| Provider Enumeration Date | 10/03/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972754380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 180400-1 (New York) | Secondary |
| 335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Primary |
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