Healthcare Provider Details

I. General information

NPI: 1215921739
Provider Name (Legal Business Name): BARBARA GERAL HENDRICK RPA C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 08/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SOUTHWOODS BLVD CAPITAL CARDIOLOGY ASSOCIATES PC
ALBANY NY
12211-2526
US

IV. Provider business mailing address

7 SOUTHWOODS BLVD CAPITAL CARDIOLOGY ASSOCIATES PC
ALBANY NY
12211-2526
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 TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number005520
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: