Provider Demographics
NPI:1962430405
Name:PRICE, DARIN MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:DARIN
Middle Name:MICHAEL
Last Name:PRICE
Suffix:
Gender:M
Credentials:DO
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 1:3732 CARMAN RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12303-5422
Practice Address - Country:US
Practice Address - Phone:518-356-4132
Practice Address - Fax:518-355-3996
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY213050208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000492169001OtherBSNENY
NY10030751OtherCDPHP
NY47351OtherGHI/HMO
NY070124000056OtherFIDELIS
NY26922OtherMVP
NY7538567OtherAETNA
NY02129064Medicaid
NY563011OtherEMPIRE BC
NY200155OtherSENIOR WHOLE HEALTH