Healthcare Provider Details

I. General information

NPI: 1275531600
Provider Name (Legal Business Name): RAMON A. FABREGAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 04/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SOUTHWOODS BLVD
ALBANY NY
12211-2514
US

IV. Provider business mailing address

7 SOUTHWOODS BLVD
ALBANY NY
12211
US

V. Phone/Fax

Practice location:
  • Phone: 518-292-6000
  • Fax: 518-292-6050
Mailing address:
  • Phone: 518-292-6000
  • Fax: 518-292-6050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number111269
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: