# ALBANY MEDICAL COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALBANY MEDICAL COLLEGE DEPT OF OPHTHALMOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093749970
- **Authorized official:** VINCENT P VERDILE M.D. (DEAN)
- **Authorized official phone:** (518) 262-6008

## Contact information

- **Practice address:** 47 NEW SCOTLAND AVE, MC77, ALBANY, NY 12208-3412
- **Practice address phone:** (518) 262-2520
- **Practice address fax:** (518) 262-2516
- **Mailing address:** 1275 BROADWAY \# MC106, MENANDS, NY 12204-2638
- **Mailing address phone:** (518) 262-9705
- **Mailing address fax:** (518) 262-9638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 04/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01226911 | — | NY |
| 05 | — | 01520676 | — | NY |
| 05 | — | 1006966 | — | VT |
| 05 | — | 9766804 | — | MA |