Provider Demographics
NPI:1174237994
Name:MANUEL ASTRUC, MD, PLLC
Entity type:Organization
Organization Name:MANUEL ASTRUC, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-583-7410
Mailing Address - Street 1:414 MAPLE AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5551
Mailing Address - Country:US
Mailing Address - Phone:518-583-7410
Mailing Address - Fax:518-583-9216
Practice Address - Street 1:414 MAPLE AVE STE 700A
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5550
Practice Address - Country:US
Practice Address - Phone:518-583-7410
Practice Address - Fax:518-583-9216
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANUEL ASTRUC M.D., PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health