| NPI | 1164704136 |
|---|---|
| Doing Business As | CAPITALCARE DEVELOPMENTAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NY 119952) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2024-02-12 |