Provider Demographics
NPI:1841208634
Name:WOODS, NORBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:NORBERT
Middle Name:J
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:700 MCCLELLAN ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1019
Practice Address - Country:US
Practice Address - Phone:518-372-5637
Practice Address - Fax:518-372-1384
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2018-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY130500208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000401441001OtherBSNENY
NY10002216OtherCDPHP
NY040426006758OtherFIDELIS
NY200185OtherSENIOR WHOLE HEALTH
NY26110OtherMVP
NY545211OtherEMPIRE BC
NY7057624OtherAETNA
NY00543866Medicaid
NY47370OtherGHI/HMO