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ALBANY MEDICAL COLLEGE NPI 1700816626


NPI Information

NPI: 1700816626
Provider Name: ALBANY MEDICAL COLLEGE

Doing Business As: ALBANY MEDICAL COLLEGE DEPT OF PRIMARY CARE

Classification: Family Medicine - 207QA0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1 PINNACLE PL
MAIL CODE 58
ALBANY, NY
ZIP 12203
Phone: (518) 262-5735
Get Directions

ALBANY MEDICAL COLLEGE is an adolescent medicine family medicine in Albany, NY. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. ALBANY MEDICAL COLLEGE NPI is 1700816626. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Albany Medical College Dept Of Primary Care.

The provider's business location address is:

1 PINNACLE PL
MAIL CODE 58
ALBANY, NY
ZIP 12203-496
Phone: (518) 262-5735
Fax: (518) 262-5743

The provider's authorized official is Vincent P Verdile .
The authorized official title is Dean and has the following contact phone number (518) 262-3773.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0000XFamily MedicineAdolescent MedicineYes
2207QA0505XFamily MedicineAdult MedicineX
3207R00000XInternal MedicineX
42080A0000XPediatricsAdolescent MedicineX
5363A00000XPhysician AssistantX
6363L00000XNurse PractitionerX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11006966MEDICAIDVERMONT
29766804MEDICAIDMASSACHUSETTS
301520676MEDICAIDNEW YORK
401658117MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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