Dr Paul Clay Sorum, MD | |
724 Watervliet Shaker Rd, Latham, NY 12110-3528 | |
(518) 783-0312 | |
(518) 782-7485 |
Full Name | Dr Paul Clay Sorum |
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Gender | Male |
Speciality | Pediatrics |
Location | 724 Watervliet Shaker Rd, Latham, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649266941 | NPI | - | NPPES |
00894486 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 157754-1 (New York) | Primary |
208000000X | Pediatrics | 157754-1 (New York) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
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Dr Paul Clay Sorum, MD 724 Watervliet Shaker Rd, Latham, NY 12110-3528 Ph: (518) 783-0312 | Dr Paul Clay Sorum, MD 724 Watervliet Shaker Rd, Latham, NY 12110-3528 Ph: (518) 783-0312 |
Dr. Anthony F Malone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6 Wellness Way Ste 101, Latham, NY 12110 Phone: 518-782-7733 Fax: 518-782-0800 | |
Thomas Duff, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Crhp-711 Troy-schenectady Rd, Suite 101, Latham, NY 12110 Phone: 518-783-3110 | |
Sheela S Graney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Century Hill Dr, Latham, NY 12110 Phone: 518-783-5563 Fax: 518-785-5708 | |
Dr. Diane A Bourke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7b Johnson Rd, Latham, NY 12110 Phone: 518-782-7733 Fax: 518-782-0800 | |
Maryla Warszawa-ambros, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Century Hill Dr, Latham, NY 12110 Phone: 518-783-5563 Fax: 518-785-5708 | |
Dr. Lubbna V Alimohammad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 711 Troy Schenectady Rd, Suite 101, Latham, NY 12110 Phone: 518-783-3110 Fax: 518-783-7506 | |
William J Feeney, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 596 New Loudon Rd, Latham, NY 12110 Phone: 518-782-7133 Fax: 518-782-7155 |