Individual
ROBERT G LEUPOLD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 LIBERTY ST, SCHENECTADY, NY 12305-2014
(518) 382-7200
(518) 382-7205
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1447
(518) 453-9088
(518) 689-3896
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
105206
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
105206
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
105206
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
105206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00530369
—
NY
Enumeration date
10/31/2005
Last updated
08/07/2014
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