Organization
ADULT MEDICINE PC
Active
Other names
Adult Medicine PC Pain Management Services
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNA P BOKA MD (OWNER)
(518) 638-6700
Entity
Organization
Contact information
Practice address
1 PINNACLE PLACE, STE 203, ALBANY, NY 12203
(518) 438-4700
(518) 438-3190
Mailing address
1 PINNACLE PLACE, STE 203, ALBANY, NY 12203
(518) 438-4700
(518) 438-3190
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2007
Last updated
04/01/2008
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