Provider Demographics
NPI:1295162865
Name:CAPITAL REGION UROLOGICAL SURGEONS, PLLC
Entity type:Organization
Organization Name:CAPITAL REGION UROLOGICAL SURGEONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAPELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-583-0111
Mailing Address - Street 1:1 WEST AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6045
Mailing Address - Country:US
Mailing Address - Phone:518-583-0111
Mailing Address - Fax:518-583-2426
Practice Address - Street 1:1 WEST AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6045
Practice Address - Country:US
Practice Address - Phone:518-583-0111
Practice Address - Fax:518-583-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty