Healthcare Provider Details

I. General information

NPI: 1316851728
Provider Name (Legal Business Name): JAMAL ARMSTEAD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 FRANKLIN ST STE 204
SCHENECTADY NY
12305-2107
US

IV. Provider business mailing address

79 GLENRIDGDE RD
GLENVILLE NY
12302-4523
US

V. Phone/Fax

Practice location:
  • Phone: 518-372-7031
  • Fax: 518-372-7064
Mailing address:
  • Phone: 518-952-8408
  • Fax: 518-399-6860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number10702-P
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: