MEDICARE: ALBANY MEDICAL COLLEGE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207V00000X	Obstetrics & Gynecology Physician
2	207VC0200X	Critical Care Medicine (Obstetrics & Gynecology) Physician
3	207VE0102X	Reproductive Endocrinology Physician
4	207VG0400X	Gynecology Physician
5	207VM0101X	Maternal & Fetal Medicine Physician
6	207VX0000X	Obstetrics Physician
7	207VX0201X	Gynecologic Oncology Physician
8	363A00000X	Physician Assistant
9	363L00000X	Nurse Practitioner
10	367A00000X	Advanced Practice Midwife

Other Identifiers

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

General Provider Information

NPI Number	:	1902836810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBANY MEDICAL COLLEGE

Provider Business Mailing Address
First Line	:	618 CENTRAL AVE
Second Line	:	MAIL CODE 106
City	:	ALBANY
State	:	NY
Zip	:	12206
Country	:	US
Telephone Number	:	518-262-9702
Fax Number	:	518-262-9707

Provider Business Practice Location Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110
Country	:	US
Telephone Number	:	518-262-4942
Fax Number	:	518-262-5291

Authorized Official
Title or Position	:	DEAN
Name	:	MR. VINCENT P VERDILE
Credential	:	MD
Telephone Number	:	518-262-3773

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	09/11/2025

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Directions to “ALBANY MEDICAL COLLEGE ” Practice Location

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