Organization
STRATTON V.A. MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTON JOLYON BRISPORT MA, OTR/L, CHT (CERTIFIED HAND THERAPIST)
51862625803
Entity
Organization
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5803
Mailing address
150 MANCHESTER RD, SCHENECTADY, NY 12304-3903
(518) 372-4303
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
004751-1
NY
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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