Healthcare Provider Details

I. General information

NPI: 1255325106
Provider Name (Legal Business Name): JOHN FRANCIS ASSINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 BELMONT AVE SUITE 380
SCHENECTADY NY
12308-2104
US

IV. Provider business mailing address

1270 BELMONT AVE SUITE 380
SCHENECTADY NY
12308-2104
US

V. Phone/Fax

Practice location:
  • Phone: 518-386-3626
  • Fax: 518-386-3612
Mailing address:
  • Phone: 518-386-3626
  • Fax: 518-386-3612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number122341
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: