Individual
DR. MICHAEL ALLEN MASIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
34 BROADWAY, RENSSELAER, NY 12144-2916
(845) 210-3597
Mailing address
PO BOX 162, RENSSELAER, NY 12144-0162
(518) 320-8659
(888) 382-3932
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004777
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N004777
NY
213ES0000X
Sports Medicine Podiatrist
N004777
NY
213ES0131X
Foot Surgery Podiatrist
N004777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011963549
—
NY
Enumeration date
12/15/2006
Last updated
06/04/2020
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