DR. MARK LESTER FRUITERMAN


Address: 1365 Washington Ave, Ste 300, Albany, NY 12206-1098
Phone: 5184894704

DR. MARK LESTER FRUITERMAN (NPI# 1609879709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609879709
Entity Type Individual
Full Name DR. MARK LESTER FRUITERMAN
Credential M.D.
Practice Address 1365 Washington Ave
Ste 300
Albany
NY 12206-1098
Practice Telephone 5184894704
Practice Fax Number 5184890512
Mailing Telephone 5184894704
Mailing Fax Number 5184890512
Enumeration Date 2005-05-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
116938 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00438459 05

Office Location

Street Address 1365 WASHINGTON AVE
STE 300
City ALBANY
State NY
Zip Code 12206-1098

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811448657 Albany Medical Center Hospital Clinic/Center 1365 Washington Ave, Albany, NY 12206-1068 2016-10-17
1821441726 Albany Medical Center Hospital Nuclear Medicine 1365 Washington Ave, Suite 204, Albany, NY 12206-1068 2016-07-15
1689059123 Albany Medical College General Practice 1365 Washington Ave, Suite 200, Albany, NY 12206-1068 2015-07-27
1700204641 Albany Medical Center Hospital Clinical Medical Laboratory 1365 Washington Ave, Albany, NY 12206-1098 2014-03-28
1508280389 Albany Medical College Internal Medicine 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 2014-02-13
1992042840 Jenna E Hafner Physician Assistant 1365 Washington Ave, Suite 100, Albany, NY 12206-1068 2013-01-12
1922361153 Amy Lynn Santoro Nurse Practitioner 1365 Washington Ave, Suite 201, Albany, NY 12206-1068 2012-06-22
1215202973 E Scott Macomber Md PC Specialist 1365 Washington Ave, Suite 200, Albany, NY 12206-1036 2012-03-14
1588960165 Michael Dolen Podiatrist 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 2011-01-31
1306157318 Capital Region Open Mri, Inc Clinic/Center 1365 Washington Ave, Suite 103, Albany, NY 12206-1068 2010-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144749854 Madena Lynn Henderson Licensed Practical Nurse 51 Garfield Pl, Albany, NY 12206 2017-09-13
1912456534 Adeel A Janjua I Contractor 17 Roosevelt St, Albany, NY 12206 2016-09-23
1376901595 Jacqueline Aimee Dall Nurse Practitioner 855 Central Avenue, Albany, NY 12206 2016-02-02
1326414210 Sarah Walton Pharmacist 346 Central Ave, Albany, NY 12206 2015-08-14
1376932558 Hope House, Inc. Substance Abuse Rehabilitation Facility 577 Livingston Ave., Albany, NY 12206 2015-01-12
1679993828 Lori S. Matulewicz Nurse Practitioner 500 Central Ave., Equinox, Inc., Albany, NY 12206 2014-04-25
1437417995 Ernest Nicola Chisena Orthopaedic Surgery 1367 Washington Avenue Suite 200, Albany, NY 12206 2012-05-02
1629368519 Joseph M Rozell Radiology 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 2011-04-12
1346542404 Melissa June Kowlessar Licensed Practical Nurse 69 Benson Street, Albany, NY 12206 2010-11-23
1316109796 Edmund John Mcgrath Podiatrist 911 Central Avenue #24, Albany, NY 12206 2008-06-27
Find all providers in zip 12206

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841204435 Erik Appel Cohen Internal Medicine 1365 Washington Avenue Suite 300, The Endocrine Group, Albany, NY 12206 2006-07-28
1225425259 Mohsinah Usmani Internal Medicine 63 Shaker Rd Ste 201, Albany, NY 12204-1030 2015-04-16
1508280389 Albany Medical College Internal Medicine 1365 Washington Ave, Suite 300, Albany, NY 12206-1098 2014-02-13
1942501663 Ana Maria Kausel Internal Medicine 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 2010-11-11
1538481965 Susan Sunjung Kim I Internal Medicine 63 Shaker Rd, Suite 201, Albany, NY 12204-1030 2010-02-26
1750525606 Grace Kim Internal Medicine 47 New Scotland Ave, Internal Medicine, Albany, NY 12208-3412 2009-04-22
1215141056 Michael Esposito & Richard Ginsburg Ptr Internal Medicine 614 Madison Ave, Albany, NY 12208 2007-05-10
1518034750 Richard Mark Ginsburg Internal Medicine 614 Madison Ave, Albany, NY 12208 2006-11-30
1497857007 Sara Nielsen Clark Internal Medicine 47 New Scotland Ave, Albany, NY 12208-3412 2006-09-03
1386689248 Albany Medical College Internal Medicine 47 New Scotland Ave, Mc: 57, Albany, NY 12208-3412 2006-06-17
Find all providers in ALBANY

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City ALBANY
Zip Code 12206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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