Individual
CHARLES JOSEPH BUTTACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
243189
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
243189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02890182
—
NY
Enumeration date
01/17/2006
Last updated
07/16/2025
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