Organization
CAPITAL DISTRICT DERMATOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME HILL (MD)
(518) 434-8121
Entity
Organization
Contact information
Practice address
450 ROUTE 9W, GLENMONT, NY 12077-3327
(518) 434-8121
(518) 426-0620
Mailing address
450 ROUTE 9W, GLENMONT, NY 12077-3327
(518) 434-8121
(518) 426-0620
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF7151
RAILROAD MEDICARE
NY
Enumeration date
10/20/2006
Last updated
10/06/2025
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