Allergy, Asthma, & Immunology Schenectady

Organization Active NPI Allergy & Immunology (Internal Medicine) Physician · Schenectady, NY

NPI 1124301734 · NPPES record last updated Sep 21, 2011

Key facts

NPI
1124301734
Entity type
Organization (NPI type 2)
Primary specialty
Allergy & Immunology (Internal Medicine) Physician 207RA0201X
License
235119 (NY)
Legal business name
ALLERGY, ASTHMA, & IMMUNOLOGY SCHENECTADY
Practice address
1201 Nott St
Suite 203
Schenectady, NY 12308-2589
Phone
(518) 724-1060
Fax
(518) 724-1070
NPI assigned
Sep 21, 2011
Organization subpart
Yes
Parent organization (as reported)
CAPITALCARE MEDICAL GROUP, LLC

Authorized official

Name
Dr. Kemp W Bundy, MD
Title
Site Medical Director
Phone
(518) 724-1060

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Family Practice Clifton (7 organizations share this tax ID)
Part of
Family Practice Clifton

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RA0201X 235119 NY Yes

Addresses

Primary practice location

1201 Nott St
Suite 203
Schenectady, NY 12308-2589

Mailing address

1201 Nott St
Suite 203
Schenectady, NY 12308-2589
Phone (518) 724-1060

Other providers in Schenectady, NY

All providers in Schenectady, NY · Allergy & Immunology (Internal Medicine) Physician in New York

Sources for this page

Verify at the official NPI Registry.