| NPI | 1811946775 |
|---|---|
| Former Legal Business Name | CAPITALCARE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 133V00000X Dietitian, Registered | |
| 207K00000X Allergy & Immunology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-03-14 |