Provider Demographics
NPI:1588848634
Name:DR GARY D POSTER
Entity Type:Organization
Organization Name:DR GARY D POSTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOODALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-792-3032
Mailing Address - Street 1:11 PINE ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3502
Mailing Address - Country:US
Mailing Address - Phone:518-792-3032
Mailing Address - Fax:518-792-5051
Practice Address - Street 1:11 PINE ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3502
Practice Address - Country:US
Practice Address - Phone:518-792-3032
Practice Address - Fax:518-792-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002919-1213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00457209Medicaid
NY1305030001Medicare NSC
NYT83167Medicare UPIN
NY37142BMedicare PIN