Individual
DONNA K PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
207RC0000X
Cardiovascular Disease Physician
Primary
220731
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02775368
—
NY
05
—
1015881
—
VT
05
—
2119765
—
MA
01
—
P00392568
RR MEDICARE
NY
Enumeration date
05/01/2006
Last updated
01/30/2015
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