Organization
ALBANY MEDICAL COLLEGE
Active
Other names
ALBANY MEDICAL COLLEGE DEPARTMENT OF PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT P VERDILE M.D. (DEAN)
(518) 262-3773
Entity
Organization
Contact information
Practice address
47 NEW SCOTLAND AVE, MC 88, ALBANY, NY 12208-3412
(518) 262-5333
(518) 262-4933
Mailing address
1275 BROADWAY # MC106, MENANDS, NY 12204-2638
(518) 262-9705
(518) 262-9638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226993
—
NY
05
—
01520676
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
07/10/2006
Last updated
04/22/2020
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