Organization
CAPITAL DISTRICT PEDIATRIC CARDIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W SPOONER (PRESIDENT)
(518) 489-3292
Entity
Organization
Contact information
Practice address
319 S MANNING BLVD, SUITE 203, ALBANY, NY 12208
(518) 489-3292
(518) 453-6286
Mailing address
319 S MANNING BLVD, SUITE 203, ALBANY, NY 12208
(518) 489-3292
(518) 453-6286
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509839
—
NY
Enumeration date
11/29/2006
Last updated
05/21/2008
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