| Capital District Gastroenterology & Liver Disease, Pc | |
|
1 S Pine Ave Albany NY 12208-2212 | |
| (518) 489-7491 | |
| (518) 489-3439 |
| Full Name | Capital District Gastroenterology & Liver Disease, Pc |
|---|---|
| Speciality | General Practice |
| Location | 1 S Pine Ave, Albany, New York |
| Authorized Official Name and Position | James H. Puleo (PRESIDENT) |
| Authorized Official Contact | 5184897491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital District Gastroenterology & Liver Disease, Pc 1 S Pine Ave Albany NY 12208-2212 Ph: (518) 489-7491 | Capital District Gastroenterology & Liver Disease, Pc 1 S Pine Ave Albany NY 12208-2212 Ph: (518) 489-7491 |
| NPI Number | 1710197058 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 02/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710197058 | NPI | - | NPPES |
| 00510292 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 088175-1 (New York) | Primary |
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