Healthcare Provider Details

I. General information

NPI: 1528448586
Provider Name (Legal Business Name): TODD ALBERT MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 E 70TH ST
NEW YORK NY
10021-4823
US

IV. Provider business mailing address

954 LEXINGTON AVE BOX 700
NEW YORK NY
10021-5055
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1004
  • Fax: 212-606-1739
Mailing address:
  • Phone: 631-329-6925
  • Fax: 631-329-6951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number274584
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number274584
License Number StateNY

VIII. Authorized Official

Name: TODD ALBERT
Title or Position: SOLE OWNER
Credential: MD
Phone: 212-606-1004