Organization · NPI-2

Albany Medical College

Psychiatry & Neurology, Neurology · Albany, NY

NPI number1811921786
StatusActive
Last updated in NPPESApr 22, 2020

Details

NPI
1811921786
Entity type
Organization (NPI-2)
Legal business name
Albany Medical College
Organization subpart
No
Enumeration date
Jul 10, 2006
Certification date
Apr 22, 2020
Last updated
Apr 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes
363L00000X Nurse Practitioner––
103T00000X Psychologist––
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology––
2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities––
2084P0800X Psychiatry & Neurology, Psychiatry––
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry––
2084P0805X ––
363A00000X Physician Assistant––

Other names

  • Albany Medical College Dept Of Neurology (Doing Business As)

Practice location

47 New Scotland Ave
Mail Code 61
Albany, NY 12208-3412

Phone 518-262-6517 · Fax 518-262-0871

Mailing address

1275 Broadway # 106
Menands, NY 12204-2638

Phone 518-262-9705 · Fax 518-262-9638

Authorized official

Vincent P Verdile
Dean
5182626008

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