Organization
CAPITAL DISTRICT METROPOLITAN MEDICAL ASSOC PC
Active
Other names
Family Healthcare Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL B MILLORA MD (MD CHIEF EXECUTIVE OFFICER)
(518) 689-2356
Entity
Organization
Contact information
Practice address
1882 NEW SCOTLAND ROAD, SLINGERLANDS, NY 12159-0249
(518) 689-3594
(518) 689-3597
Mailing address
PO BOX 249, SLINGERLANDS, NY 12159-0249
(518) 689-3594
(518) 689-3597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
117712
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00699972
—
NY
Enumeration date
11/07/2006
Last updated
08/28/2015
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