Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital City Gospel Mission Free Clinic

Organization Physician Assistant · NPI 1710687199

Capital City Gospel Mission Free Clinic is a Physician Assistant 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
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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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