Provider Demographics
NPI:1518982982
Name:KLAUSNER, ERIC G (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:G
Last Name:KLAUSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 NORTHERN BLVD.
Mailing Address - Street 2:WOUND CARE CENTER
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204
Mailing Address - Country:US
Mailing Address - Phone:518-471-3221
Mailing Address - Fax:518-471-3648
Practice Address - Street 1:600 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-1004
Practice Address - Country:US
Practice Address - Phone:518-471-3221
Practice Address - Fax:518-471-3648
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY180976207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01279161Medicaid
NYF21610Medicare UPIN
NYRA7649Medicare PIN