Organization
ALBANY MEDICAL COLLEGE
Active
Other names
ALBANY MEDICAL COLLEGE DEPT OF EMERGENCY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT P VERDILE M.D. (DEAN)
(518) 262-6008
Entity
Organization
Contact information
Practice address
47 NEW SCOTLAND AVE, MC 139, ALBANY, NY 12208-3412
(518) 262-3131
(518) 262-3597
Mailing address
1275 BROADWAY # MC106, MENANDS, NY 12204-2638
(518) 262-9705
(518) 262-9705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01086593
—
NY
05
—
01520676
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
07/04/2006
Last updated
04/22/2020
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