VICTOR ARTHUR BALDASSARI


Address: 139 Merchant Place, Cobleskill, NY 12043-5715
Phone: 5182341155

VICTOR ARTHUR BALDASSARI (NPI# 1174039937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174039937
Entity Type Individual
Full Name VICTOR ARTHUR BALDASSARI
Credential OPHTHALMIC /DISPENSE
Practice Address 139 Merchant Place
Cobleskill
NY 12043-5715
Practice Telephone 5182341155
Practice Fax Number 5182540691
Mailing Telephone 5182341155
Mailing Fax Number 5182540691
Enumeration Date 2017-12-15
Last Update Date 2017-12-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
C005296-1 NY Eye and Vision Services Providers

Office Location

Street Address 139 MERCHANT PLACE
City COBLESKILL
State NY
Zip Code 12043-5715

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245398775 David John Aidone Technician/Technologist 980 E Main St, Ste2, Cobleskill, NY 12043-5742 2006-12-05
1205949500 Wal-mart Stores East, Lp Technician/Technologist 139 Merchant Pl, Cobleskill, NY 12043-5715 2006-08-17

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Competitor

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City COBLESKILL
Zip Code 12043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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