Individual
JOHN J AMBROSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 MARYS AVE, SUITE 202, KINGSTON, NY 12401-5849
(845) 338-1992
(845) 338-1614
Mailing address
43 NEW SCOTLAND AVE, MC 157, ALBANY, NY 12208-3412
(518) 262-5640
(518) 262-9413
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
278100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04059683
—
NY
Enumeration date
11/18/2005
Last updated
05/27/2015
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