Healthcare Provider Details

I. General information

NPI: 1518952332
Provider Name (Legal Business Name): CAPITAL CARDIOLOGY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SOUTHWOODS BLVD
ALBANY NY
12211-2514
US

IV. Provider business mailing address

7 SOUTHWOODS BLVD
ALBANY NY
12211-2514
US

V. Phone/Fax

Practice location:
  • Phone: 518-292-6000
  • Fax: 518-292-6050
Mailing address:
  • Phone: 518-292-6000
  • Fax: 518-292-6050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0404X
TaxonomyCardiac Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AUGUSTIN J DELAGO
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 518-292-6000