Healthcare Provider Details

I. General information

NPI: 1487644670
Provider Name (Legal Business Name): DONALD K RICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MCCLELLAN ST
SCHENECTADY NY
12304-1009
US

IV. Provider business mailing address

PO BOX 624
LATHAM NY
12110-0624
US

V. Phone/Fax

Practice location:
  • Phone: 518-347-5339
  • Fax:
Mailing address:
  • Phone: 518-786-1299
  • Fax: 518-786-1293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number181804
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: