NPI | 1366723082 |
---|---|
Doing Business As | CAPITALCARE FAMILY PRACTICE CLIFTON PARK |
Entity Type | Organization |
Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-09-08 |
Last Update Date | 2019-03-21 |