ALBANY MEDICAL COLLEGE NPI 1326429150

NPI Information

  • NPI: 1326429150
  • Provider Name: ALBANY MEDICAL COLLEGE
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: AMC GENERAL PEDIATRICS
  • CLIA Number: 33D0953339
  • Address: 1365 WASHINGTON AVE STE 204
    ALBANY, NY
    ZIP 12206
  • Phone: (518) 464-1392

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NPI Details

ALBANY MEDICAL COLLEGE is a pediatrics in Albany, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ALBANY MEDICAL COLLEGE NPI is 1326429150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amc General Pediatrics.

The provider's business location address is:

1365 WASHINGTON AVE STE 204
ALBANY, NY
ZIP 12206-098
Phone: (518) 464-1392

The provider's authorized official is Alan Boulos .
The authorized official title is Dean Albany Medical College and has the following contact phone number (518) 262-6008.

The CLIA number assigned to this NPI record is 33D0953339 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2015 and was last updated on 10/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 11/21/2025

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