Individual
VIJAY K ADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2614 RIVERFRONT CENTER, AMSTERDAM, NY 12010-4819
(518) 627-0627
(518) 627-0628
Mailing address
124 COMANCHE TRL, NISKAYUNA, NY 12309-2243
(518) 346-6577
(518) 627-0628
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
223735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01787351
—
NY
Enumeration date
09/15/2006
Last updated
02/29/2012
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