Healthcare Provider Details

I. General information

NPI: 1295737112
Provider Name (Legal Business Name): RICHARD J D'ASCOLI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 LIBERTY ST
SCHENECTADY NY
12305-2014
US

IV. Provider business mailing address

530 LIBERTY ST
SCHENECTADY NY
12305-2014
US

V. Phone/Fax

Practice location:
  • Phone: 518-382-7200
  • Fax: 518-382-7205
Mailing address:
  • Phone: 518-382-7200
  • Fax: 518-382-7205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number151592
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number151592
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number15192
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number151592
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: