Healthcare Provider Details

I. General information

NPI: 1508981416
Provider Name (Legal Business Name): STEVEN M KAM M.D., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 NEW SCOTLAND AVE
ALBANY NY
12208-3409
US

IV. Provider business mailing address

25 HACKETT BLVD MC-164
ALBANY NY
12208-3462
US

V. Phone/Fax

Practice location:
  • Phone: 518-549-6400
  • Fax: 518-549-6425
Mailing address:
  • Phone: 518-262-5511
  • Fax: 518-262-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number233155
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number233155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: