Organization
CAPITAL REGION OTOLARYNGOLOGY HEAD & NECK GROUP. LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY BUFF-CONKLIN (CREDENTIALING COORDINATOR)
(518) 482-3131
Entity
Organization
Contact information
Practice address
6 EXECUTIVE PARK DR # C, ALBANY, NY 12203-3791
(518) 482-9111
(518) 482-6142
Mailing address
6 EXECUTIVE PARK DR # C, ALBANY, NY 12203-3791
(518) 482-9111
(518) 482-6142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
05/14/2008
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