Healthcare Provider Details

I. General information

NPI: 1740247428
Provider Name (Legal Business Name): JENNIFER OAKES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER AUDI MD

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE ALBANY MEDICAL CENTER
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47 NEW SCOTLAND AVE ALBANY MEDICAL CENTER
ALBANY NY
12208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-1333
  • Fax:
Mailing address:
  • Phone: 518-262-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PT0002X
TaxonomyMedical Toxicology (Emergency Medicine) Physician
License Number260444
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number260444
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: