Individual
DR. EDWARD A APICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 CORPORATE WOODS BLVD, ALBANY, NY 12211-2524
(518) 463-0171
(518) 463-0174
Mailing address
12 CORPORATE WOODS BLVD, ALBANY, NY 12211-2524
(518) 463-0171
(518) 463-0174
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
191595
NY
208VP0000X
Pain Medicine Physician
191595
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
191595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405461007
BSNENY
NY
05
—
01565035
—
NY
01
—
050078269
RAIL ROAD MEDICARE
NY
01
—
05641
MVP
NY
01
—
10000049
CDPHP
NY
01
—
110586100
DEPT OF LABOR/POSTAL WORK
NY
01
—
141806863
UNITED HEALTH CARE
NY
01
—
4868
CDPHP GROUP #
NY
01
—
5301566
GHI PPO DR. APICELLA'S #
NY
01
—
5403572
AETNA
NY
01
—
5508704
GHI PPO GROUP NUMBER
NY
01
—
EA03087930
EMPIRE/ BLUE CHOICE
NY
Enumeration date
08/23/2005
Last updated
10/28/2010
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