Individual provider · Type 1 NPI

Bryce P. Foggo, PA

Surgical Physician Assistant · Schenectady, NY

NPI number 1093478042 Active

Practice location

500 State St
Schenectady, NY 12305-2414

Fax (518) 689-3881

Mailing address

121 Everett Rd
Albany, NY 12205-1474

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X027520 (NY)
Surgical Physician Assistant Primary 363AS0400X027520 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1093478042

Bryce P. Foggo, PA's National Provider Identifier is 1093478042, issued on Oct 18, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Schenectady, NY. The record was last updated on Jul 16, 2025.