# ENDOCRINOLOGY TROY

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

## Provider details

- **NPI number:** 1740673979
- **Legal business name:** CAPITALCARE MEDICAL GROUP, LLC
- **Authorized official:** DIANE E BELLANGER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (518) 452-1337

## Contact information

- **Practice address:** 1304 PARK BLVD, TROY, NY 12180-1403
- **Practice address phone:** (518) 273-3755
- **Practice address fax:** (518) 273-6865
- **Mailing address:** 1304 PARK BLVD, TROY, NY 12180-1403
- **Mailing address phone:** (518) 273-3755
- **Mailing address fax:** (518) 273-6865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/12/2015