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NPI Code Detail

MEDICARE: KATHLEEN PADILLA ORSAK MD

MEDICARE:   KATHLEEN PADILLA ORSAK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician153769NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00033397OTHERNYRR MEDICARE

General Provider Information

NPI Number : 1932197035
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN PADILLA ORSAK MD
Provider Business Mailing Address
First Line : 100 PARK ST
Second Line : GLENS FALLS HOSPITAL
City : GLENS FALLS
State : NY
Zip : 12801-4413
Country : US
Telephone Number : 518-926-3210
Fax Number : 518-926-3215
Provider Business Practice Location Address
First Line : 100 PARK ST
Second Line : GLENS FALLS HOSPITAL
City : GLENS FALLS
State : NY
Zip : 12801-4413
Country : US
Telephone Number : 518-926-3210
Fax Number : 518-926-3215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 06/13/2012

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Directions to “ KATHLEEN PADILLA ORSAK MD” Practice Location

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