Healthcare Provider Details

I. General information

NPI: 1528204336
Provider Name (Legal Business Name): VANGUARD MEDICAL OF CAPITAL DISTRICT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 NEW LOUDON RD
COHOES NY
12047-5004
US

IV. Provider business mailing address

1010 NEW LOUDON RD
COHOES NY
12047-5004
US

V. Phone/Fax

Practice location:
  • Phone: 518-220-9007
  • Fax: 518-220-9166
Mailing address:
  • Phone: 518-220-9007
  • Fax: 518-220-9166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number234082
License Number StateNY

VIII. Authorized Official

Name: ALIYA SAEED
Title or Position: OWNER
Credential: MD
Phone: 518-225-2551