Organization
CAPITAL CITY GOSPEL MISSION FREE CLINIC
Active
Parent organization
CAPITAL CITY GOSPEL MISSION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAPITAL CITY GOSPEL MISSION
Authorized official
MRS. STEPHANIE ZERONDA PA-C (CLINIC DIRECTOR)
(518) 533-5415
Entity
Organization
Contact information
Practice address
88 TRINITY PLACE, ALBANY, NY 12202
(518) 533-5415
Mailing address
259 S PEARL ST, ALBANY, NY 12202-1859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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