Provider Demographics
NPI:1669062279
Name:MANUEL ASTRUC, MD, PLLC
Entity type:Organization
Organization Name:MANUEL ASTRUC, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASTRUC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-583-7410
Mailing Address - Street 1:414 MAPLE AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5551
Mailing Address - Country:US
Mailing Address - Phone:518-583-7410
Mailing Address - Fax:518-583-9216
Practice Address - Street 1:414 MAPLE AVE STE 700
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5551
Practice Address - Country:US
Practice Address - Phone:518-583-7410
Practice Address - Fax:518-583-9216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty