Healthcare Provider Details

I. General information

NPI: 1205838729
Provider Name (Legal Business Name): ALBANY ENT & ALLERGY SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 EVERETT RD
ALBANY NY
12205-1407
US

IV. Provider business mailing address

400 PATROON CREEK BLVD SUITE 205
ALBANY NY
12206-5013
US

V. Phone/Fax

Practice location:
  • Phone: 518-701-2000
  • Fax: 518-701-2139
Mailing address:
  • Phone: 518-701-2000
  • Fax: 518-701-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GAVIN SETZEN
Title or Position: PRESIDENT
Credential: MD
Phone: 518-701-2000