Provider Demographics
NPI:1407901309
Name:BONE HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:BONE HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ASSINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-386-3686
Mailing Address - Street 1:124 ROSA RD
Mailing Address - Street 2:SUITE 380
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2116
Mailing Address - Country:US
Mailing Address - Phone:518-386-3686
Mailing Address - Fax:518-386-3612
Practice Address - Street 1:124 ROSA RD
Practice Address - Street 2:SUITE 380
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2116
Practice Address - Country:US
Practice Address - Phone:518-386-3686
Practice Address - Fax:518-386-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122341207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9691740OtherGROUP HEALTH INC
NY00352649Medicaid
14832266OtherCIGNA
000471021005OtherBS NENY
36890OtherMVP
JA025S8610OtherEMPIRE BC
000000056575OtherGROUP HEALTH INC-HMO
10000065 8688OtherCDPHP
9691740OtherGROUP HEALTH INC
JA025S8610OtherEMPIRE BC