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Organization

SKIN SPECIALISTS OF THE CAPITAL REGION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTY ARSENAULT (PRACTICE MANAGER)
(518) 452-1928
Entity
Organization

Contact information

Practice address
264 WASHINGTON AVENUE EXT STE 201, SUITE 201, ALBANY, NY 12203-6352
(518) 452-1928
(518) 708-8749
Mailing address
264 WASHINGTON AVENUE EXT STE 201, ALBANY, NY 12203-6352
(518) 452-1928
(518) 362-1348

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
1823931
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1823931
NYS LICENSE
NY
Enumeration date
09/26/2007
Last updated
06/15/2022
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