Basic Information
| Provider Information | |||||||||
| NPI: | 1689655698 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASTER | ||||||||
| FirstName: | CHESTER | ||||||||
| MiddleName: | NICHOLAS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4017 RYAN PL | ||||||||
| Address2: | |||||||||
| City: | SCHENECTADY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 123032819 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183570407 | ||||||||
| FaxNumber: | 5188729265 | ||||||||
| Practice Location | |||||||||
| Address1: | 1772 HELDERBERG TRL | ||||||||
| Address2: | |||||||||
| City: | BERNE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120232709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5188729262 | ||||||||
| FaxNumber: | 5188729265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2005 | ||||||||
| LastUpdateDate: | 10/21/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 197059 | NY | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.