Individual
JOHN CZAJKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Mailing address
1367 WASHINGTON AVE, SUITE 200, ALBANY, NY 12206-1043
(518) 489-2666
(518) 489-5933
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
135402-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040631101
BS NENY
NY
05
—
00734932
—
NY
01
—
10000426
CDPHP
NY
01
—
18130
MVP
—
01
—
7058066
AETNA
NY
01
—
87F921
EMPIRE BC
NY
Enumeration date
07/27/2006
Last updated
02/25/2008
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