Buttaci, Charles Joseph
Buttaci, Charles Joseph is an individual health care provider with primary practice located at 121 Everett Rd , Albany NY 12205-1474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Buttaci, Charles Joseph can be contacted via phone (518) 489-2663.Contact Information
Primary practice address
121 Everett Rd
Albany NY 12205-1474
Phone: (518) 489-2663
Fax: (518) 689-3881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 243189 | New York |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 243189 | New York |
Profile Details
| NPI number | 1962482901 |
|---|---|
| LBN Legal business name | Buttaci, Charles Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Dec 8th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962482901 | NPPES |
| New York | Other | 243189 | LICENSE |
| New York | MEDICAID | 02890182 | LICENSE |
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