Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 146522 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 146522 | NY |
NPI | 1952305369 |
---|---|
Provider Name | Dr. Stephen A Albanese |
First Address | East Syracuse, NY 13057 |
Second Address | East Syracuse, NY 13057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 25/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00961959 | (05) | NY |
B82806 | (02) | NY |