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CAPITAL DISTRICT PEDIATRIC CARDIOLOGY ASSOCIATES PC NPI 1407923873


NPI Information

NPI: 1407923873
Provider Name: CAPITAL DISTRICT PEDIATRIC CARDIOLOGY ASSOCIATES PC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
319 S MANNING BLVD
SUITE 203
ALBANY, NY
ZIP 12208
Phone: (518) 489-3292
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CAPITAL DISTRICT PEDIATRIC CARDIOLOGY ASSOCIATES PC is a pediatric cardiology pediatrics in Albany, NY. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. CAPITAL DISTRICT PEDIATRIC CARDIOLOGY ASSOCIATES PC NPI is 1407923873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

319 S MANNING BLVD
SUITE 203
ALBANY, NY
ZIP 12208
Phone: (518) 489-3292
Fax: (518) 453-6286

The provider's authorized official is Eric W Spooner .
The authorized official title is President and has the following contact phone number (518) 489-3292.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 5/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137990AMEDICARE UPINNEW YORK
2406192001MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
300509839MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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