Organization
CAPITAL REGION OTOLARYNGOLOGY HEAD & NECK GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEVITO MD (PARTNER)
(518) 482-9111
Entity
Organization
Contact information
Practice address
963 ROUTE 146, CLIFTON PARK, NY 12065-3636
(518) 383-0065
Mailing address
963 ROUTE 146, CLIFTON PARK, NY 12065-3636
(518) 383-0065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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