Individual
JON T TOUSSAINT
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
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
106756
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00503017
—
NY
01
—
10002058
CDPHP
NY
Enumeration date
12/14/2006
Last updated
08/20/2007
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