Basic Information
Provider Information
NPI: 1861416091
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRIKER
FirstName: JAMES
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1367 WASHINGTON AVE
Address2: SUITE 200
City: ALBANY
State: NY
PostalCode: 122061043
CountryCode: US
TelephoneNumber: 5184892666
FaxNumber: 5184895933
Practice Location
Address1: 1367 WASHINGTON AVE
Address2: SUITE 200
City: ALBANY
State: NY
PostalCode: 122061043
CountryCode: US
TelephoneNumber: 5184892666
FaxNumber: 5184895933
Other Information
ProviderEnumerationDate: 07/27/2006
LastUpdateDate: 02/25/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X120449-4NYY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
00040610200101NYBS NENYOTHER
1818501NYMVPOTHER
1000198901NYCDPHPOTHER
459912901NYAETNAOTHER
33309101NYEMPIRE BCOTHER
0050300805NY MEDICAID


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