Healthcare Provider Details
I. General information
NPI: 1093724767
Provider Name (Legal Business Name): SARATOGA SCHENECTADY GASTROENTEROLOGY ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/05/2006
Last Update Date: 11/03/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
848 ROUTE 50
BURNT HILLS NY
12027-0569
US
IV. Provider business mailing address
848 STATE ROUTE 50
BURNT HILLS NY
12027-9511
US
V. Phone/Fax
- Phone: 518-831-1500
- Fax: 518-280-8464
- Phone: 518-831-1500
- Fax: 518-399-7585
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
F
DEFRANCISCO
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 518-831-1500