Organization
BURDETT ORTHOPEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY C ISENBERGH (OFFICE MANAGER)
(518) 272-0122
Entity
Organization
Contact information
Practice address
2200 BURDETT AVE, SUITE 202, TROY, NY 12180-2451
(518) 272-0122
(518) 272-1260
Mailing address
2200 BURDETT AVE, SUITE 202, TROY, NY 12180-2451
(518) 272-0122
(518) 272-1260
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01956050
—
NY
01
—
0616930001
DMERC
NY
01
—
1490
CDPHP
NY
01
—
200053732
MVPHP
NY
01
—
CF7281
RR MEDICARE
NY
Enumeration date
07/20/2006
Last updated
06/07/2012
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