Organization
ALBANY MEDICAL COLLEGE
Active
Organization
ALBANY MEDICAL COLLEGE
Active
Other names
ALBANY MEDICAL COLLEGE DEPT OF RADIOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT P VERDILE M.D. (DEAN)
(518) 262-6008
Entity
Organization
Contact information
Practice address
1367 WASHINGTON AVE, 183, ALBANY, NY 12206-1043
(518) 489-8024
(518) 489-7729
Mailing address
1275 BROADWAY # MC106, MENANDS, NY 12204-2638
(518) 262-9705
(518) 262-9638
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01520676
—
NY
05
—
01907253
—
NY
05
—
1006966
—
VT
05
—
9766804
—
MA
Enumeration date
07/04/2006
Last updated
04/22/2020
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