Organization · NPI-2

Adult Medicine PC

Internal Medicine · Albany, NY

NPI number1396011656
StatusActive
Last updated in NPPESMar 30, 2012

Details

NPI
1396011656
Entity type
Organization (NPI-2)
Legal business name
Adult Medicine PC
Organization subpart
No
Enumeration date
Mar 30, 2012
Last updated
Mar 30, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207LP2900X Anesthesiology, Pain Medicine––

Practice location

1 Pinnacle Pl
Suite 203
Albany, NY 12203-3496

Phone 518-438-4700

Mailing address

1 Pinnacle Pl
Suite 203
Albany, NY 12203-3496

Phone 518-438-4700

Authorized official

Suzanna Boka
Owner
5184384700

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