Healthcare Provider Details

I. General information

NPI: 1821441726
Provider Name (Legal Business Name): ALBANY MEDICAL CENTER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2016
Last Update Date: 07/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1365 WASHINGTON AVE SUITE 204
ALBANY NY
12206-1068
US

IV. Provider business mailing address

1275 BROADWAY
MENANDS NY
12204-2638
US

V. Phone/Fax

Practice location:
  • Phone: 518-264-6825
  • Fax:
Mailing address:
  • Phone: 518-262-9705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FERDINAND VENDITTI
Title or Position: HOSPITAL GENERAL DIRECTOR
Credential: MD
Phone: 518-262-5376