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NPI Code Detail

MEDICARE: CAPITAL DISTRICT PSYCHIATRIC CENTER

MEDICARE: CAPITAL DISTRICT PSYCHIATRIC CENTER
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
13336L0003XLong Term Care Pharmacy
23336I0012XInstitutional PharmacyNY

General Provider Information

NPI Number : 1124185335
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITAL DISTRICT PSYCHIATRIC CENTER
Provider Business Mailing Address
First Line : 44 HOLLAND AVE
Second Line : ATTN: SOFG/MEDICARE D
City : ALBANY
State : NY
Zip : 12229-0000
Country : US
Telephone Number :
Fax Number : 518-486-4303
Provider Business Practice Location Address
First Line : 75 NEW SCOTLAND AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-3409
Country : US
Telephone Number : 518-447-9611
Fax Number :
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : BETH GAIL GIARRUSSO
Credential :
Telephone Number : 518-473-3598
Provider Enumeration Date : 01/03/2007
Last Update Date : 06/27/2019

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Directions to “CAPITAL DISTRICT PSYCHIATRIC CENTER ” Practice Location

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