Provider Demographics
NPI:1902803414
Name:KAPUSCINSKA, BARBARA (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:KAPUSCINSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BELL TOWER DR
Mailing Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES, PC
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-2333
Mailing Address - Country:US
Mailing Address - Phone:518-268-6390
Mailing Address - Fax:
Practice Address - Street 1:7 SOUTHWOODS BLVD
Practice Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES, PC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2526
Practice Address - Country:US
Practice Address - Phone:518-292-6000
Practice Address - Fax:518-292-6050
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01146038Medicaid
NY000406904006OtherBS NENY
NY070723000051OtherFIDELIS CARE
NY113409OtherWELLCARE
NY257828OtherUHC
NY10001013OtherCDPHP
NY3131R1OtherEBCBS
NY0110234413OtherRR MEDICARE
NY5229340OtherAETNA
MA2086808Medicaid
NY4124264OtherMOHAWK VALLEY PHP
NY0110234413OtherRR MEDICARE
NY3131R1OtherEBCBS
NY113409OtherWELLCARE
E68829Medicare UPIN