Healthcare Provider Details

I. General information

NPI: 1275563181
Provider Name (Legal Business Name): ALBANY MEDICAL COLLEGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE MAIL CODE 162
ALBANY NY
12208
US

IV. Provider business mailing address

618 CENTRAL AVE MAIL CODE 106
ALBANY NY
12206
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-5963
  • Fax: 518-262-1927
Mailing address:
  • Phone: 518-262-9702
  • Fax: 518-262-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. VINCENT P VERDILE
Title or Position: DEAN
Credential: MD
Phone: 518-262-3773