# ALBANY MEDICAL COLLEGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Albany Medical College Dept of PM&R
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629008537
- **Authorized official:** DR. VINCENT P VERDILE M.D. (DEAN)
- **Authorized official phone:** (518) 262-6008

## Contact information

- **Practice address:** 47 NEW SCOTLAND AVE, MAIL CODE 61, ALBANY, NY 12208-3412
- **Practice address phone:** (518) 262-6517
- **Practice address fax:** (518) 262-0871
- **Mailing address:** 1275 BROADWAY \# 106, MENANDS, NY 12204-2638
- **Mailing address phone:** (518) 262-9705
- **Mailing address fax:** (518) 262-9638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

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