Organization
CAPITAL REGION PRIMARY CARE PLLC
Active
Parent organization
ELLIS HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELLIS HOSPITAL
Authorized official
DAVID LIEBERS MD (MEDICAL DIRECTOR)
(518) 243-4134
Entity
Organization
Contact information
Practice address
2537 ROUTE 9, MALTA, NY 12020-4328
(518) 289-2400
(518) 289-2410
Mailing address
PO BOX 11226, ALBANY, NY 12211-0226
(518) 389-1725
(518) 389-1788
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
02/06/2014
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