Healthcare Provider Details

I. General information

NPI: 1013298629
Provider Name (Legal Business Name): AMIT CHOPRA M.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 02/22/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE MAIL CODE 91
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47, NEW SCOTLAND AVENUE ALBANY MEDICAL CENTER
ALBANY NY
12590
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-5196
  • Fax:
Mailing address:
  • Phone: 646-266-9476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number268717
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number268717
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: