Individual
DR. CARL ENGLEBARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 NOTT ST, SUITE 303, SCHENECTADY, NY 12308-2589
(518) 393-3663
(518) 346-3541
Mailing address
1201 NOTT ST, SUITE 303, SCHENECTADY, NY 12308-2589
(518) 393-3663
(518) 346-3541
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
116555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00705486
—
NY
01
—
1901
MVP PROVIDER NUMBER
NY
Enumeration date
10/20/2006
Last updated
11/06/2007
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