| Organization Name: | CAPITAL DISTRICT GASTROENTEROLOGY & LIVER DISEASE, PC |
| NPI Number: | 1710197058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES H. PULEO (PRESIDENT) |
| Mailing Address: | 1 S Pine Ave Albany |
| State: | NY US |
| Postal Code: | 122082212 |
| Phone Number: | 5184897491 |
| Fax Number: | 5184893439 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 02/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 088175-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |