MEDICARE: GS INTERNAL MEDICINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033558853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GS INTERNAL MEDICINE PLLC

Provider Business Mailing Address
First Line	:	711 TROY SCHENECTADY RD STE 203
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-2461
Country	:	US
Telephone Number	:	518-782-3700
Fax Number	:	518-782-3799

Provider Business Practice Location Address
First Line	:	1882 NEW SCOTLAND RD STE 200
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-3627
Country	:	US
Telephone Number	:	518-459-2460
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GEORGE SORYAL
Credential	:	M.D.
Telephone Number	:	914-826-4200

Provider Enumeration Date	:	06/15/2013
Last Update Date	:	03/17/2018

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Directions to “GS INTERNAL MEDICINE PLLC ” Practice Location

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