Provider Demographics
NPI:1326066556
Name:RENSSELAER COUNTY BUREAU OF FINANCE
Entity Type:Organization
Organization Name:RENSSELAER COUNTY BUREAU OF FINANCE
Other - Org Name:RENSSELAER COUNTY DEPARTMENT OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-270-2626
Mailing Address - Street 1:1600 7TH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-3410
Mailing Address - Country:US
Mailing Address - Phone:518-270-2626
Mailing Address - Fax:518-270-2638
Practice Address - Street 1:1600 7TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-3410
Practice Address - Country:US
Practice Address - Phone:518-270-2626
Practice Address - Fax:518-270-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9293L001251K00000X
NY4102200R261QP0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000400511001OtherBLUESHIELD OF NENY
NY10018156OtherCDPHP
NY00473652Medicaid
NY555590Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID