| NPI | 1104109065 |
|---|---|
| Doing Business As | CAPITALCARE INTERNAL MEDICINE BALLTOWN ROAD |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 154946) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-03-14 |