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 |
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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 |
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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 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 02/05/2009 |
Identifier | Type | State | Issuer |
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1710197058 | NPI | - | NPPES |
00510292 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 088175-1 (New York) | Primary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |