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NPI Code Detail

MEDICARE: MICHAEL A LAYDEN M.D.

MEDICARE: MICHAEL A LAYDEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician198522NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01000251OTHERNYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194728774
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A LAYDEN M.D.
Provider Business Mailing Address
First Line : 100 PARK STREET
Second Line : GLENS FALLS HOSPITAL - CREDENTIALING
City : GLENS FALLS
State : NY
Zip : 12801-4413
Country : US
Telephone Number : 518-926-5924
Fax Number : 518-926-6983
Provider Business Practice Location Address
First Line : 6 HEARTS WAY
Second Line : ADIRONDACK CARDIOLOGY
City : QUEENSBURY
State : NY
Zip : 12804-5925
Country : US
Telephone Number : 518-792-1233
Fax Number : 518-792-6854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/29/2021

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