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47 New Scotland Ave Mail Code 61 Albany NY 12208-3412 | |
| (518) 262-6517 | |
| (518) 262-0871 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 47 New Scotland Ave, Albany, New York |
| Authorized Official Name and Position | Vincent P Verdile (DEAN) |
| Authorized Official Contact | 5182626008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1275 Broadway # 106 Menands NY 12204-2638 Ph: (518) 262-9705 | 47 New Scotland Ave Mail Code 61 Albany NY 12208-3412 Ph: (518) 262-6517 |
| NPI Number | 1811921786 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811921786 | NPI | - | NPPES |
| 01520676 | Medicaid | NY | |
| 01001472 | Medicaid | NY | |
| 1006966 | Medicaid | VT | |
| 9766804 | Medicaid | MA |
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