Organization
ALBANY MEDICAL COLLEGE
Active
Other names
Albany Medical College Dept of Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT P VERDILE MD (DEAN)
(518) 262-6008
Entity
Organization
Contact information
Practice address
47 NEW SCOTLAND AVE, MAIL CODE 61, ALBANY, NY 12208
(518) 262-6517
(518) 262-0871
Mailing address
1275 BROADWAY # 106, MENANDS, NY 12204-2638
(518) 262-9705
(518) 262-9638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227141
—
NY
05
—
01520676
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
07/04/2006
Last updated
04/22/2020
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