Basic Information
| Provider Information | |||||||||
| NPI: | 1962430405 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | DARIN | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 711 TROY SCHENECTADY RD STE 203 | ||||||||
| Address2: | |||||||||
| City: | LATHAM | ||||||||
| State: | NY | ||||||||
| PostalCode: | 121102461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5187823700 | ||||||||
| FaxNumber: | 5187823799 | ||||||||
| Practice Location | |||||||||
| Address1: | 3732 CARMAN RD | ||||||||
| Address2: | |||||||||
| City: | SCHENECTADY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 123035422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5183564132 | ||||||||
| FaxNumber: | 5183553996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2006 | ||||||||
| LastUpdateDate: | 01/16/2018 | ||||||||
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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 | 208000000X | 213050 | NY | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 000492169001 | 01 | NY | BSNENY | OTHER | 10030751 | 01 | NY | CDPHP | OTHER | 47351 | 01 | NY | GHI/HMO | OTHER | 070124000056 | 01 | NY | FIDELIS | OTHER | 26922 | 01 | NY | MVP | OTHER | 7538567 | 01 | NY | AETNA | OTHER | 02129064 | 05 | NY | MEDICAID | 563011 | 01 | NY | EMPIRE BC | OTHER | 200155 | 01 | NY | SENIOR WHOLE HEALTH | OTHER |