Capital Region Otolaryngology Head & Neck Group

NPI #1033484142 in Ghent, New York

Provider Information

NPI Number: 1033484142
Entity Type: Organization
Organization Name: Capital Region Otolaryngology Head & Neck Group
Primary Specialty: Specialist
Enumeration Date: Mar 22, 2012
Last Updated: Mar 22, 2012

Practice Location

Address: 2 SHERMAN POTTS DR
City: Ghent
State: New York
ZIP Code: 12075-3216
Phone: (518) 822-9111

Authorized Official

Name: MICHAEL DEVITO, MD
Title: PARTNER
Phone: (518) 482-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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