Healthcare Provider Details

I. General information

NPI: 1689687337
Provider Name (Legal Business Name): RICHARD ALTWERGER DPM, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 NORTHERN BLVD
ALBANY NY
12204
US

IV. Provider business mailing address

21 GLYNN DRIVE
COHOES NY
12047
US

V. Phone/Fax

Practice location:
  • Phone: 518-272-8637
  • Fax: 518-274-2879
Mailing address:
  • Phone: 518-272-8637
  • Fax: 518-274-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN003170-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN003170
License Number StateNY

VIII. Authorized Official

Name: DR. RICHARD ALAN ALWERGER
Title or Position: OWNER
Credential: DPM
Phone: 518-272-8637