Healthcare Provider Details

I. General information

NPI: 1306867221
Provider Name (Legal Business Name): DARBY ENTERPRISE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2381 ROUTE 9 STE 1
MECHANICVILLE NY
12118-3901
US

IV. Provider business mailing address

2381 ROUTE 9 STE 1
MECHANICVILLE NY
12118-3901
US

V. Phone/Fax

Practice location:
  • Phone: 518-899-4202
  • Fax: 518-899-4206
Mailing address:
  • Phone: 518-899-4202
  • Fax: 518-899-4206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ALAN DARBY
Title or Position: OWNER
Credential:
Phone: 518-899-4202