MEDICARE: CAPITAL IMAGING ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1093794513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL IMAGING ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 5247
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12205-0247
Country	:	US
Telephone Number	:	518-785-7373
Fax Number	:	518-785-1132

Provider Business Practice Location Address
First Line	:	1001 LOUDEN
Second Line	:
City	:	COHOES
State	:	NY
Zip	:	12047-5003
Country	:	US
Telephone Number	:	518-785-7373
Fax Number	:	518-785-1132

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. MICHAEL GABOR
Credential	:	MD
Telephone Number	:	518-785-7373

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/22/2020

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