Organization · NPI-2

Albany Medical College

Family Medicine, Adolescent Medicine · Albany, NY

NPI number1700816626

StatusActive

Last updated in NPPESSep 11, 2025

Details

NPI: 1700816626
Entity type: Organization (NPI-2)
Legal business name: Albany Medical College
Organization subpart: No
Enumeration date: Jul 4, 2006
Last updated: Sep 11, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QA0000X	Family Medicine, Adolescent Medicine	–	–	Yes
207QA0505X	Family Medicine, Adult Medicine	–	–
207R00000X	Internal Medicine	–	–
2080A0000X	Pediatrics, Adolescent Medicine	–	–
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Other names

Albany Medical College Dept Of Primary Care (Doing Business As)

Practice location

1 Pinnacle Pl
Mail Code 58
Albany, NY 12203-3496

Phone 518-262-5735 · Fax 518-262-5743

Mailing address

618 Central Ave
Mail Code 106
Albany, NY 12206-1916

Phone 518-262-9702 · Fax 518-262-9707

Authorized official

Vincent P Verdile
Dean
5182623773

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