Healthcare Provider Details

I. General information

NPI: 1295120863
Provider Name (Legal Business Name): SHAI POSNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 WASHINGTON AVE STE 101
ALBANY NY
12206-1056
US

IV. Provider business mailing address

1375 WASHINGTON AVE STE 101
ALBANY NY
12206-1056
US

V. Phone/Fax

Practice location:
  • Phone: 518-438-4483
  • Fax:
Mailing address:
  • Phone: 518-438-4483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number308389
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: