Individual
MARYELLEN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC, ALBANY, NY 12211-2526
(518) 292-6000
(518) 292-6050
Mailing address
7 SOUTHWOODS BLVD, CAPITAL CARDIOLOGY ASSOCIATES, PC, ALBANY, NY 12211-2526
(518) 292-6000
(518) 292-6050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305210
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03301140
—
NY
05
—
1029964
—
VT
05
—
110121412A
—
MA
Enumeration date
07/27/2009
Last updated
08/04/2017
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