Organization
ALBANY MEDICAL COLLEGE
Active
Other names
Albany Medical College Dept of PM&R
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT P VERDILE M.D. (DEAN)
(518) 262-6008
Entity
Organization
Contact information
Practice address
47 NEW SCOTLAND AVE, MAIL CODE 61, ALBANY, NY 12208-3412
(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
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01520676
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
07/04/2006
Last updated
04/22/2020
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