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Organization

CAPITAL DISTRICT MEDICAL & WELLNESS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA STAFF (PRESIDENT)
(518) 869-4300
Entity
Organization

Contact information

Practice address
3 WEMBLEY CT, SUITE 101, ALBANY, NY 12205-3891
(518) 869-4300
Mailing address
3 STANDISH PL, HARTSDALE, NY 10530-2914

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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