NPI | 1699057661 |
---|---|
Doing Business As | CAPITALCARE FAMILY PRACTICE RIVER ROAD |
Entity Type | Organization |
Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 174880) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2019-03-14 |