Provider Demographics
NPI:1679174841
Name:SARATOGA PARTNERS NORTH, LLC
Entity Type:Organization
Organization Name:SARATOGA PARTNERS NORTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-438-7638
Mailing Address - Street 1:1367 WASHINGTON AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-1043
Mailing Address - Country:US
Mailing Address - Phone:518-438-7638
Mailing Address - Fax:518-438-7695
Practice Address - Street 1:4 MEDICAL PARK DRIVE
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-1220
Practice Address - Country:US
Practice Address - Phone:518-438-7638
Practice Address - Fax:518-438-7638
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARATOGA PARTNERS NORTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty