Organization
ADULT MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNA BOKA MD (OWNER)
(518) 438-4700
Entity
Organization
Contact information
Practice address
1 PINNACLE PL, SUITE 203, ALBANY, NY 12203-3496
(518) 438-4700
Mailing address
1 PINNACLE PL, SUITE 203, ALBANY, NY 12203-3496
(518) 438-4700
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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