Organization
MEMORIAL HOSPITAL, ALBANY, N.Y.
Active
Parent organization
MEMORIAL HOSPITAL, ALBANY, N.Y.
Other names
Capital District Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL, ALBANY, N.Y.
Authorized official
LORI SANTOS (CFO)
(518) 525-5537
Entity
Organization
Contact information
Practice address
1440 WESTERN AVE, ALBANY, NY 12203-3421
(518) 482-0214
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101003H
NY
207R00000X
Internal Medicine Physician
0101003H
NY
282N00000X
General Acute Care Hospital
Primary
0101003H
NY
363A00000X
Physician Assistant
0101003H
NY
363L00000X
Nurse Practitioner
0101003H
NY
Other
Enumeration date
08/10/2012
Last updated
04/03/2020
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