| Capital District Pediatrics P.l.l.c | |
|
400 Patroon Creek Suite 201 Albany NY 12206 | |
| (518) 438-7086 | |
| Not Available |
| Full Name | Capital District Pediatrics P.l.l.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 400 Patroon Creek, Albany, New York |
| Authorized Official Name and Position | Ifeoma Clarissa Ojukwu (PEDIATRICIAN) |
| Authorized Official Contact | 5184387086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital District Pediatrics P.l.l.c P.o. Box 14 Guilderland NY 12084 Ph: (518) 438-7086 | Capital District Pediatrics P.l.l.c 400 Patroon Creek Suite 201 Albany NY 12206 Ph: (518) 438-7086 |
| NPI Number | 1861676009 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861676009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 208353 (New York) | Primary |
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