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General NPI Number Information
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NPI Number | 1174553093
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Entity Type | Organization
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Legal Business Name | ALBANY MEDICAL COLLEGE
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 47 NEW SCOTLAND AVE MC 139
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-3131
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Fax | 518-262-3597
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Provider Business Mailing Address
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Address Line | 1275 BROADWAY # MC106
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City | MENANDS
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State | NY
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Zip | 12204-2638
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Country | US
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Telephone | 518-262-9705
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Fax | 518-262-9705
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Authorized Official
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Title or Position | DEAN
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Name | VINCENT P VERDILE
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Credential | M.D.
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Telephone | 518-262-6008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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