Healthcare Provider Details

I. General information

NPI: 1861493660
Provider Name (Legal Business Name): TODD DOYLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PATROON CREEK BLVD SUITE 1
ALBANY NY
12206-5004
US

IV. Provider business mailing address

400 PATROON CREEK BLVD SUITE 1
ALBANY NY
12206-5004
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-0044
  • Fax: 518-489-3591
Mailing address:
  • Phone: 518-489-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number220565
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: