ALBANY PLASTIC SURGEONS, PLLC (NPI# 1972548667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972548667 |
| Entity Type | Organization |
| Organization Name | ALBANY PLASTIC SURGEONS, PLLC |
| Practice Address |
4 Executive Park Dr Albany NY 12203-3718 |
| Practice Telephone | 5184381434 |
| Practice Fax Number | 5184891205 |
| Mailing Telephone | 5184381434 |
| Mailing Fax Number | 5184891205 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | DR. DEBBIE A KENNEDY (PHYSICIAN) |
| Authorized Official Telephone | 5184381434 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
4 EXECUTIVE PARK DR |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314805 | Thomas F. Fashouer | Specialist/Technologist | 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 | 2005-08-29 |
| 1578045258 | Juwon Park Dmd PC | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-08-30 |
| 1265936496 | Purificato Physical Therapy Pllc | Clinic/Center | 4 Executive Park Dr, Albany, NY 12203-3718 | 2018-03-21 |
| 1649799636 | James Nalbone, Md Pllc | Psychiatry & Neurology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2017-09-12 |
| 1962883595 | Terence Hoyt | Counselor | 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 | 2015-06-09 |
| 1831529098 | Sphpma Crus Urology | Urology | 4 Executive Park Dr, Albany, NY 12203-3718 | 2013-11-25 |
| 1184979171 | Capital Region Urological Surgeons | Specialist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-07-17 |
| 1164781837 | Phrances Blay Hinch | Nurse Practitioner | 4 Executive Park Dr, Albany, NY 12203-3718 | 2012-05-15 |
| 1942529631 | Subrata Mukherjee | Dentist | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-05-20 |
| 1720300296 | Andrea Berkowitz Lcsw | Social Worker | 4 Executive Park Dr, Albany, NY 12203-3718 | 2010-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114428141 | Johnae Patrice Galloway | Specialist | 600 New Scotland Ave, Albany, NY 12208-1928 | 2018-02-25 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1457703217 | Rebecca Burke | Specialist | 113 Krumkill Rd, Albany, NY 12208-1249 | 2016-07-05 |
| 1639535933 | Emily Soule | Specialist | 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 | 2016-01-04 |
| 1891163903 | Anca Rabinowitz | Specialist | 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 | 2015-09-04 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1548651706 | Katrina Reittinger | Specialist | 50 Phillip St, Albany, NY 12207 | 2015-02-10 |
| 1700226792 | Jeffrey Sansobrino | Specialist | 1 Rapp Rd # 1, Albany, NY 12203-4491 | 2013-07-05 |
| 1306186739 | Kate Ireland Panza | Specialist | 29 Krug Ct, Albany, NY 12211-1914 | 2013-02-21 |
| 1992045470 | Maryjo Aidala | Specialist | 1658 Central Ave, Albany, NY 12205-4029 | 2013-02-21 |
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| 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.