Capital Region Otolaryngology Head & Neck Group. LLP

NPI #1194838748 in Albany, New York

Provider Information

NPI Number: 1194838748
Entity Type: Organization
Organization Name: Capital Region Otolaryngology Head & Neck Group. LLP
Primary Specialty: Specialist
Enumeration Date: Aug 17, 2006
Last Updated: May 14, 2008

Practice Location

Address: 6 EXECUTIVE PARK DR # C
City: Albany
State: New York
ZIP Code: 12203-3791
Phone: (518) 482-9111

Authorized Official

Name: BEVERLY BUFF-CONKLIN
Title: CREDENTIALING COORDINATOR
Phone: (518) 482-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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