Provider Demographics
NPI:1558455477
Name:CAPITAL FOOT SPECIALISTS
Entity Type:Organization
Organization Name:CAPITAL FOOT SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CALIFANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:518-355-0043
Mailing Address - Street 1:1426 ALTAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-2979
Mailing Address - Country:US
Mailing Address - Phone:518-355-0043
Mailing Address - Fax:518-355-0053
Practice Address - Street 1:1426 ALTAMONT AVE
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-2979
Practice Address - Country:US
Practice Address - Phone:518-355-0043
Practice Address - Fax:518-355-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYSP5432OtherMVP HEALTH PLAN
NY1266OtherCDPHP
NYSP5432OtherMVP HEALTH PLAN