| Albany Medical College | |
|
400 Patroon Creek Blvd Suite 210 Albany NY 12206-5013 | |
| (518) 459-8106 | |
| Not Available |
| Full Name | Albany Medical College |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 400 Patroon Creek Blvd, Albany, New York |
| Authorized Official Name and Position | Vincent Verdile (DEAN ALBANY MEDICAL COLLEGE) |
| Authorized Official Contact | 5182626008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Medical College 1275 Broadway # Mc106 Menands NY 12204-2638 Ph: () - | Albany Medical College 400 Patroon Creek Blvd Suite 210 Albany NY 12206-5013 Ph: (518) 459-8106 |
| NPI Number | 1629491329 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Medicare PECOS PAC ID | 1759293111 |
|---|---|
| Medicare Enrollment ID | O20140617000347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629491329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Rebecca J Stetzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437163045 PECOS PAC ID: 7012944309 Enrollment ID: I20050719000336 |
| Provider Name | John P Verdini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346209418 PECOS PAC ID: 3476457375 Enrollment ID: I20060912000315 |
| Provider Name | Stanley Penc |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078031 PECOS PAC ID: 4587701693 Enrollment ID: I20091022000129 |
| Provider Name | David E Hart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245289990 PECOS PAC ID: 7012998529 Enrollment ID: I20100730000459 |
| Provider Name | Bruce A Beesley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215986765 PECOS PAC ID: 3577574797 Enrollment ID: I20100730000637 |
| Provider Name | Fredric S Schoen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891754966 PECOS PAC ID: 6204730104 Enrollment ID: I20100910001065 |
| Provider Name | Jeffrey J Burdick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356300412 PECOS PAC ID: 1153367198 Enrollment ID: I20101220000281 |
| Provider Name | Mai Mona Rasoully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841546355 PECOS PAC ID: 5294987038 Enrollment ID: I20121130000441 |
| Provider Name | Jocelyn E Bushart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528461035 PECOS PAC ID: 4082936125 Enrollment ID: I20141201001345 |
| Provider Name | Lisa M Drake |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841614914 PECOS PAC ID: 0446505655 Enrollment ID: I20180612000790 |
| Provider Name | Jennifer Lieberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255992046 PECOS PAC ID: 6800850322 Enrollment ID: I20190731000807 |
| Provider Name | Rebecca A Marrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063074185 PECOS PAC ID: 4385972439 Enrollment ID: I20190827002879 |
| Provider Name | Jared R King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740642941 PECOS PAC ID: 7315282118 Enrollment ID: I20200430001586 |
| Provider Name | Heather C Bauerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811336 PECOS PAC ID: 8224448725 Enrollment ID: I20201112001947 |
| Provider Name | Shakthi N Sureddi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114421336 PECOS PAC ID: 2365787173 Enrollment ID: I20221110000075 |
| Provider Name | Alaina M Qayyum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659868453 PECOS PAC ID: 8628313483 Enrollment ID: I20230329002584 |
| Provider Name | Mary Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134855281 PECOS PAC ID: 4486016391 Enrollment ID: I20230809002305 |
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Threat Assessment & Risk Management Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 980 Western Ave, Albany, NY 12203 Phone: 518-439-2379 | |
Rainbow Access Initiative Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Colvin Ave Ste 102, Albany, NY 12206 Phone: 518-438-2222 | |
Evelyn Karpel, Mental Health Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 756 Madison Ave Ste 202, Albany, NY 12208 Phone: 518-217-5742 | |
Case Management Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Green Street, Albany, NY 12202 Phone: 518-447-4550 Fax: 518-447-2045 | |
National Alliance On Mental Illness-new York State Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Pine St, Suite 105, Albany, NY 12207 Phone: 518-462-2000 |