Organization
ALBANY MEDICAL COLLEGE
Active
Other names
Alabany Medical College Dept of Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT P VERDILE MD (DEAN)
(518) 262-6008
Entity
Organization
Contact information
Practice address
47 NEW SCOTLAND AVE, MAIL CODE 131, ALBANY, NY 12208
(518) 262-4317
(518) 262-2671
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
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00451198
—
NY
05
—
01520676
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
06/24/2006
Last updated
04/22/2020
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