Organization
NYSOMH/CAPITAL DISTRICT PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY STALEY MS NPP (DIRECTOR OF NURSING)
(518) 447-9611
Entity
Organization
Contact information
Practice address
175 CENTRAL AVE, ALBANY, NY 12206-2937
(518) 436-4462
(518) 436-4558
Mailing address
175 CENTRAL AVE, ALBANY, NY 12206-2937
(518) 436-4462
(518) 436-4558
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
400371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02341335
—
NY
Enumeration date
08/19/2006
Last updated
08/22/2020
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