Organization
CAPITAL REGION UROLOGICAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A YATES (BILLING MANAGER)
(518) 438-0507
Entity
Organization
Contact information
Practice address
4 EXECUTIVE PARK DR, ALBANY, NY 12203-3718
(518) 489-7494
(518) 489-7641
Mailing address
319 S MANNING BLVD, SUITE 106, ALBANY, NY 12208-1742
(518) 438-0507
(518) 438-0981
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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