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NPI Code Detail

MEDICARE: BARBARA KAPUSCINSKA MD

MEDICARE: BARBARA KAPUSCINSKA MD
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
1207R00000XInternal Medicine Physician173869NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
80110234413OTHERNYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000406904006OTHERNYBS NENY
3070723000051OTHERNYFIDELIS CARE
4113409OTHERNYWELLCARE
5257828OTHERNYUHC
610001013OTHERNYCDPHP
73131R1OTHERNYEBCBS
95229340OTHERNYAETNA
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
114124264OTHERNYMOHAWK VALLEY PHP

General Provider Information

NPI Number : 1902803414
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA KAPUSCINSKA MD
Provider Business Mailing Address
First Line : 1 BELL TOWER DR
Second Line : CAPITAL CARDIOLOGY ASSOCIATES, PC
City : WATERVLIET
State : NY
Zip : 12189-2333
Country : US
Telephone Number : 518-268-6390
Fax Number :
Provider Business Practice Location Address
First Line : 7 SOUTHWOODS BLVD
Second Line : CAPITAL CARDIOLOGY ASSOCIATES, PC
City : ALBANY
State : NY
Zip : 12211-2526
Country : US
Telephone Number : 518-292-6000
Fax Number : 518-292-6050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 02/09/2016

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Directions to “ BARBARA KAPUSCINSKA MD” Practice Location

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