Healthcare Provider Details

I. General information

NPI: 1508842022
Provider Name (Legal Business Name): DAVID FOYT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 04/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 NEW SCOTLAND ROAD SUITE 103
SLINGERLANDS NY
12159-9386
US

IV. Provider business mailing address

1220 NEW SCOTLAND ROAD SUITE 103
SLINGERLANDS NY
12159-9386
US

V. Phone/Fax

Practice location:
  • Phone: 518-439-4326
  • Fax: 518-439-6143
Mailing address:
  • Phone: 518-439-4326
  • Fax: 518-439-6143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number189002
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number189002
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: