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Organization

LUCIE CAPEK, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUCIE CAPEK M.D. (OWNER)
(518) 786-1700
Entity
Organization

Contact information

Practice address
713 TROY SCHENECTADY RD, SUITE 308, LATHAM, NY 12110-2490
(518) 786-1700
(518) 783-9241
Mailing address
713 TROY SCHENECTADY RD, SUITE 308, LATHAM, NY 12110-2490
(518) 786-1700
(518) 786-9241

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
204519
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DG2474
MEDICARE RAILROAD
NY
Enumeration date
01/31/2007
Last updated
12/13/2007
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