Capital City Gospel Mission Free Clinic

NPI #1710687199 in Albany, New York

Provider Information

NPI Number: 1710687199
Entity Type: Organization
Organization Name: Capital City Gospel Mission Free Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: CAPITAL CITY GOSPEL MISSION
Primary Specialty: Physician Assistant
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 88 TRINITY PLACE
City: Albany
State: New York
ZIP Code: 12202
Phone: (518) 533-5415

Authorized Official

Name: MRS. STEPHANIE ZERONDA, PA-C
Title: CLINIC DIRECTOR
Phone: (518) 533-5415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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