Healthcare Provider Details

I. General information

NPI: 1093794513
Provider Name (Legal Business Name): CAPITAL IMAGING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 LOUDEN
COHOES NY
12047-5003
US

IV. Provider business mailing address

PO BOX 5247
ALBANY NY
12205-0247
US

V. Phone/Fax

Practice location:
  • Phone: 518-785-7373
  • Fax: 518-785-1132
Mailing address:
  • Phone: 518-785-7373
  • Fax: 518-785-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL GABOR
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 518-785-7373