| NPI | 1306128509 |
|---|---|
| Doing Business As | CAPITAL REGION HEALTH PARK |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 218930) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2024-02-19 |