Healthcare Provider Details

I. General information

NPI: 1063442986
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: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE
ALBANY NY
12208-3412
US

IV. Provider business mailing address

618 CENTRAL AVE MC 106
ALBANY NY
12206-1916
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-5333
  • Fax: 518-262-4933
Mailing address:
  • Phone: 518-262-9702
  • Fax: 518-262-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

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