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Roderick Macintosh JR., PA
Surgical Physician Assistant in Schenectady, New York
NPI 1053339176

Roderick Macintosh JR. is a Surgical Physician Assistant based in Schenectady, NY and is specialized in Surgical. Roderick Macintosh JR. practices in Schenectady, NY and has the professional credentials of PA. The NPI Number for Roderick Macintosh JR. is 1053339176 and holds a License No. 002263 (New York).

The current practice location address for Roderick Macintosh JR. is 1101 Nott St, Schenectady, NY and can be reached out via phone at 518-243-4000. You can also correspond with Roderick Macintosh JR. through the mailing address at 1462 ERIE BLVD, SCHENECTADY, NY - 12305-1026 (mailing address contact number: 518-243-1500).

Location: 1101 Nott St, Schenectady, NY, 12305-1026
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Provider Profile Details
NPI Number
1053339176
Provider Name
Roderick Macintosh JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1101 Nott St, Schenectady, NY, 12305-1026
Phone Number
518-243-4000
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
040511001098 01 NY FIDELIS CARE
000405485002 01 NY BLUE SHIELD
000495057001 01 NY BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1101 Nott St
City
State
Zip
12308-2425
Phone Number
518-243-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Nott St
City
State
Zip
12308-2425
Phone Number
518-243-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
002263 (New York)
Definition
Definition to come...
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