Provider Demographics
NPI:1558455477
Name:CAPITAL FOOT SPECIALISTS
Entity type:Organization
Organization Name:CAPITAL FOOT SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CALIFANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:518-355-0043
Mailing Address - Street 1:1217 CURRY RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12306-3707
Mailing Address - Country:US
Mailing Address - Phone:518-355-0043
Mailing Address - Fax:518-355-0053
Practice Address - Street 1:713 TROY SCHENECTADY RD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2490
Practice Address - Country:US
Practice Address - Phone:518-785-1110
Practice Address - Fax:518-785-1923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1266OtherCDPHP
NY448267001OtherBLUE SHIELD
NYSP5432OtherMVP HEALTH PLAN