Organization
CAP MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D AMIDON D.O. (SENIOR MEMBER)
(315) 225-3534
Entity
Organization
Contact information
Practice address
610 FRENCH RD, NEW HARTFORD, NY 13413-1014
(315) 225-3534
Mailing address
PO BOX 4272, ROME, NY 13442-4272
(315) 225-3534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
192498-1
NY
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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