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Organization

ALLERGY, ASTHMA, & IMMUNOLOGY SCHENECTADY

Active
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Organization

ALLERGY, ASTHMA, & IMMUNOLOGY SCHENECTADY

Active
Parent organization
CAPITALCARE MEDICAL GROUP, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAPITALCARE MEDICAL GROUP, LLC
Authorized official
DR. KEMP W BUNDY MD (SITE MEDICAL DIRECTOR)
(518) 724-1060
Entity
Organization

Contact information

Practice address
1201 NOTT ST, SUITE 203, SCHENECTADY, NY 12308-2589
(518) 724-1060
(518) 724-1070
Mailing address
1201 NOTT ST, SUITE 203, SCHENECTADY, NY 12308-2589
(518) 724-1060
(518) 724-1070

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
235119
NY

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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