person
Dr. Jack Bastow, DPM
Foot Surgery Podiatrist in Albany, New York
NPI 1881621423

Jack Bastow is a Foot Surgery Podiatrist based in Albany, NY and is specialized in Foot Surgery. Jack Bastow practices in Albany, NY and has the professional credentials of DPM. The NPI Number for Jack Bastow is 1881621423 and holds a License No. 003886 (New York).

The current practice location address for Jack Bastow is 4 Palisades Dr, Albany, NY and can be reached out via phone at 518-458-1771 and via fax at 518-459-7682. You can also correspond with Jack Bastow through the mailing address at 4 PALISADES DR, ALBANY, NY - 12205-1443 (mailing address contact number: 518-458-1771).

Location: 4 Palisades Dr, Albany, NY, 12205-1443
person
Provider Profile Details
NPI Number
1881621423
Provider Name
Jack Bastow
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4 Palisades Dr, Albany, NY, 12205-1443
Phone Number
518-458-1771
Fax Number
518-459-7682
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4 Palisades Dr
City
State
Zip
12205-1443
Phone Number
518-458-1771
Fax Number
518-459-7682
person
Provider Business Mailing Address Details
Address
4 Palisades Dr
City
State
Zip
12205-1443
Phone Number
518-458-1771
Fax Number
518-459-7682
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
003886 (New York)
Definition
Definition to come...
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