# CAPITAL DISTRICT INTERVENTIONAL SPINE & REHABILITATION, PLLC

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

## Provider details

- **NPI number:** 1497054498
- **Authorized official:** SYED A. HASAN M.D. (M.D./OWNER)
- **Authorized official phone:** (518) 487-4093

## Contact information

- **Practice address:** 63 SHAKER RD, ALBANY, NY 12204-1030
- **Practice address phone:** (518) 487-4093
- **Practice address fax:** (518) 487-4102
- **Mailing address:** 63 SHAKER RD, ALBANY, NY 12204-1030
- **Mailing address phone:** (518) 487-4093
- **Mailing address fax:** (518) 487-4102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 251596 | NY | Yes |

## Other

- **Enumeration date:** 03/17/2011
- **Last updated:** 03/17/2011