# FAMILY PRACTICE MCCLELLAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAPITALCARE MEDICAL GROUP, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629351903
- **Legal business name:** CAPITALCARE MEDICAL GROUP, LLC
- **Authorized official:** DR. JOSEPH P FUSELLA DO (SITE MEDICAL DIRECTOR)
- **Authorized official phone:** (518) 346-3222

## Contact information

- **Practice address:** 600 MCCLELLAN ST, MSGR. KEANE PAVILLION, SCHENECTADY, NY 12304-1009
- **Practice address phone:** (518) 346-3222
- **Practice address fax:** (518) 346-2436
- **Mailing address:** 600 MCCLELLAN ST, MSGR. KEANE PAVILLION, SCHENECTADY, NY 12304-1009
- **Mailing address phone:** (518) 346-3222
- **Mailing address fax:** (518) 346-2436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 174880 | NY | Yes |

## Other

- **Enumeration date:** 09/23/2011
- **Last updated:** 09/23/2011