Healthcare Provider Details

I. General information

NPI: 1831190016
Provider Name (Legal Business Name): PAUL E. LEMANSKI M.D., F.A.C.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PALISADES DR STE 130
ALBANY NY
12205-1443
US

IV. Provider business mailing address

4 PALISADES DR STE 130
ALBANY NY
12205-1443
US

V. Phone/Fax

Practice location:
  • Phone: 518-722-0099
  • Fax: 518-444-4810
Mailing address:
  • Phone: 518-722-0099
  • Fax: 518-444-4810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number146868
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number146868
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: