Organization
CAPITAL REGION COSMETIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K STREET (PRACTICE ADMINISTRATOR)
(518) 724-2444
Entity
Organization
Contact information
Practice address
5 ULENSKI DR, ALBANY, NY 12205-1103
(518) 724-2444
(518) 724-2445
Mailing address
5 ULENSKI DR, ALBANY, NY 12205-1103
(518) 724-2444
(518) 724-2445
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
06/22/2022
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