Capitalcare Family Practice Ravena | |
2524 Us Route 9w Ravena NY 12143-2804 | |
(518) 756-7390 | |
(518) 756-8030 |
Full Name | Capitalcare Family Practice Ravena |
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Speciality | Family Medicine |
Location | 2524 Us Route 9w, Ravena, New York |
Authorized Official Name and Position | Debby Coons (CREDENTIALING MANAGER) |
Authorized Official Contact | 5182130478 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Capitalcare Family Practice Ravena 711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 Ph: (518) 782-3700 | Capitalcare Family Practice Ravena 2524 Us Route 9w Ravena NY 12143-2804 Ph: (518) 756-7390 |
NPI Number | 1093097586 |
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Provider Enumeration Date | 09/12/2011 |
Last Update Date | 03/14/2019 |
Identifier | Type | State | Issuer |
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1093097586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 192285 (New York) | Primary |