Organization
CAPITAL DISTRICT ORTHOTIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MICHAEL RATTNER M.D. (PRESIDENT)
(518) 370-3338
Entity
Organization
Contact information
Practice address
2341 NOTT ST E, STE 201, NISKAYUNA, NY 12309-4332
(518) 370-3338
(518) 344-1229
Mailing address
2341 NOTT ST E, STE 201, NISKAYUNA, NY 12309-4332
(518) 370-3338
(518) 344-1229
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
180400-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609074244
NPI
NY
Enumeration date
07/05/2007
Last updated
09/12/2008
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