Macintosh, Roderick

Macintosh, Roderick is an individual health care provider with primary practice located at 1101 Nott St , Schenectady NY 12308-2425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Macintosh, Roderick can be contacted via phone (518) 243-4000.

Contact Information

Primary practice address
1101 Nott St Schenectady NY 12308-2425
Phone: (518) 243-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 002263 New York

Profile Details

NPI number 1053339176
LBN Legal business name Macintosh, Roderick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053339176 NPPES
New York Other 040511001098 FIDELIS CARE
New York Other 000405485002 FIDELIS CARE
New York Other 000495057001 FIDELIS CARE

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