NPI | 1487081923 |
---|---|
Other Name | CAPITAL REGION UROLOGY |
Entity Type | Organization |
Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 208600000X Surgery |
2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery | |
261QM1300X Clinic/Center, Multi-Specialty | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2024-04-22 |