Healthcare Provider Details

I. General information

NPI: 1427002419
Provider Name (Legal Business Name): CARDIOLOGY ASSOCIATES OF SCHENECTADY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 11/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2546 BALLTOWN RD SUITE 300
SCHENECTADY NY
12309-1079
US

IV. Provider business mailing address

2546 BALLTOWN RD SUITE 300
SCHENECTADY NY
12309-1079
US

V. Phone/Fax

Practice location:
  • Phone: 518-377-8184
  • Fax: 518-374-5918
Mailing address:
  • Phone: 518-377-8184
  • Fax: 518-374-5918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID CHARLES ARMENIA
Title or Position: DELEGATED OFFICIAL
Credential: M.D.
Phone: 518-377-8184