Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 3861 | NY |
N | 222Z00000X | Podiatrist | 3861 | NY |
N | 213ES0131X | Foot Surgery | 3861 | NY |
NPI | 1356336663 |
---|---|
Provider Name | Dr. Marc David Ginsburg |
First Address | Albany, NY 12209-1525 |
Second Address | Albany, NY 12209-1525 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00873872 | (05) | NY |
10000762 | CDPHP (01) | NY |
PH818 | EMPIRE BLUE CROSS (01) | NY |
T26628 | (02) |