# CAPITAL REGION OB-GYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902050529
- **Authorized official:** ELINA BURSTYN D.O. (MEMBER)
- **Authorized official phone:** (518) 783-7070

## Contact information

- **Practice address:** 711 TROY SCHENECTADY RD, SUITE 205, LATHAM, NY 12110-2442
- **Practice address phone:** (518) 783-7070
- **Practice address fax:** (518) 783-3159
- **Mailing address:** 711 TROY SCHENECTADY RD, SUITE 205, LATHAM, NY 12110-2442
- **Mailing address phone:** (518) 783-7070
- **Mailing address fax:** (518) 783-3159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 226189-1 | NY | Yes |

## Other

- **Enumeration date:** 11/10/2008
- **Last updated:** 11/11/2008
