Healthcare Provider Details

I. General information

NPI: 1922010644
Provider Name (Legal Business Name): CAPITAL REGION CARDIOLOGY ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 MADISON AVE
ALBANY NY
12208-3712
US

IV. Provider business mailing address

854 MADISON AVE
ALBANY NY
12208-3712
US

V. Phone/Fax

Practice location:
  • Phone: 518-438-6236
  • Fax: 518-438-6750
Mailing address:
  • Phone: 518-438-6236
  • Fax: 518-438-6750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IGAL ZURAVICKY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 518-438-6236