# UPSTATE GASTROENTEROLOGY ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255355830
- **Authorized official:** FREDERICK M BRAUNSTEIN MD (CEO)
- **Authorized official phone:** (518) 272-1199

## Contact information

- **Practice address:** 2200 BURDETT AVE, TROY, NY 12180-2451
- **Practice address phone:** (518) 272-0234
- **Practice address fax:** (518) 272-0906
- **Mailing address:** 2200 BURDETT AVE, TROY, NY 12180-2451
- **Mailing address phone:** (518) 272-0234
- **Mailing address fax:** (518) 272-0906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 05/09/2011