Provider Demographics
NPI:1396926556
Name:ALBERT NALLI DPM INC
Entity type:Organization
Organization Name:ALBERT NALLI DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:NALLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-266-3180
Mailing Address - Street 1:510 MAPLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-2412
Mailing Address - Country:US
Mailing Address - Phone:724-266-3180
Mailing Address - Fax:724-266-1740
Practice Address - Street 1:510 MAPLEWOOD AVE
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2412
Practice Address - Country:US
Practice Address - Phone:724-266-3180
Practice Address - Fax:724-266-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001753L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1563791OtherHIGHMARK BCBS
PA1008690830001Medicaid
PA1008690830001Medicaid
PADB3762Medicare PIN
PA5037030002Medicare NSC