Organization
ALBANY MEDICAL COLLEGE
Active
Other names
ALBANY MEDICAL COLLEGE DEPT OF PSYCHIATRY
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 164, ALBANY, NY 12208-3412
(518) 262-5756
(518) 262-6111
Mailing address
1275 BROADWAY # MC106, MENANDS, NY 12204-2638
(518) 262-9705
(518) 262-9638
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01520676
—
NY
05
—
01708878
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
07/10/2006
Last updated
04/22/2020
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