# ADULT MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396011656
- **Authorized official:** SUZANNA BOKA MD (OWNER)
- **Authorized official phone:** (518) 438-4700

## Contact information

- **Practice address:** 1 PINNACLE PL, SUITE 203, ALBANY, NY 12203-3496
- **Practice address phone:** (518) 438-4700
- **Mailing address:** 1 PINNACLE PL, SUITE 203, ALBANY, NY 12203-3496
- **Mailing address phone:** (518) 438-4700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012