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 |
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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 |
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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 |
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Provider Enumeration Date | 12/24/2007 |
Last Update Date | 12/24/2007 |
Identifier | Type | State | Issuer |
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1861676009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 208353 (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 |