Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK BASTOW, DPM
Active Sole ProprietorDR. JACK BASTOW, DPM is a Foot Surgery Podiatrist healthcare provider located in ALBANY, New York. NPI 1881621423 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · ALBANY, NY
Registration Details
- NPI Number
- 1881621423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2006 (20.162274812352 yrs)
- Last Updated
- Jan 22, 2009
- License
-
003886 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 PALISADES DRSUITE 250AALBANY, NY, 122051443Browse NY providers · Browse ZIP 12205
- Phone
- 5184581771
- Fax
- 5184597682
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
Other Foot Surgery Podiatrist Providers in ALBANY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MARC DAVID GINSBURG | DPM | 1356336663 |
| MARK DUANE LENTINI | D.P.M. | 1194736496 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.