Individual
GARY SISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ALBANY MEDICAL CENTER HOSPITAL, 47 NEW SCOTLAND AVE - RADIOLOGY, ALBANY, NY 12208
(518) 262-5149
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
188275
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
188275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01599348
—
NY
Enumeration date
10/25/2006
Last updated
12/08/2007
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