Healthcare Provider Details

I. General information

NPI: 1659511509
Provider Name (Legal Business Name): SCHENECTADY PATHOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2009
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 NOTT ST
SCHENECTADY NY
12308-2425
US

IV. Provider business mailing address

PO BOX 1376
LATHAM NY
12110-8876
US

V. Phone/Fax

Practice location:
  • Phone: 518-786-1298
  • Fax: 518-786-1293
Mailing address:
  • Phone: 518-389-1803
  • Fax: 518-389-1788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BERNARD NG
Title or Position: PRESIDENT
Credential: MD
Phone: 518-389-1803