Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Capital City Gospel Mission Free Clinic

Organization Physician Assistant · NPI 1710687199

Capital City Gospel Mission Free Clinic provides Physician Assistant services in Albany, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

88 Trinity Pl
Albany, NY 12202
Phone: (518) 533-5415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710687199
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCapital City Gospel Mission
Authorized official Stephanie Zeronda — Clinic Director · (518) 533-5415
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 2, 2023
Mailing address259 S Pearl St, Albany, NY 12202-1859

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