Healthcare Provider Details

I. General information

NPI: 1720418221
Provider Name (Legal Business Name): ALBANY MEDICAL COLLEGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2976 ROUTE 9W
SAUGERTIES NY
12477-5234
US

IV. Provider business mailing address

PO BOX 417208
BOSTON MA
02241-7208
US

V. Phone/Fax

Practice location:
  • Phone: 845-247-9100
  • Fax:
Mailing address:
  • Phone: 845-247-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. VINCENT VERDILE
Title or Position: DEAN
Credential: M.D.
Phone: 518-262-6008