MEDICARE: DELILAH FORD

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
1	246Q00000X	Pathology Specialist/Technologist	N2M6T5E8	GA

General Provider Information

NPI Number	:	1205778073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELILAH FORD

Provider Business Mailing Address
First Line	:	418 BROADWAY
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12207-2922
Country	:	US
Telephone Number	:	518-313-6635
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 BROADWAY
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12207-2922
Country	:	US
Telephone Number	:	518-313-6635
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ DELILAH FORD ” Practice Location

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