Organization
ALBANY MEDICAL COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BOULOS MD (DEAN)
(518) 262-9600
Entity
Organization
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-9600
Mailing address
1275 BROADWAY # MC106, MENANDS, NY 12204-2638
(518) 262-9705
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207K00000X
Allergy & Immunology Physician
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006966
—
VT
Enumeration date
05/07/2008
Last updated
01/24/2025
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