| Dr Vadim Divilov, MD | |
| 
					5 Palisades Dr Ste 100, Albany, NY 12205-6433  | |
| (518) 438-4496 | |
| Not Available | 
| Full Name | Dr Vadim Divilov | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Pulmonary Disease | 
| Location | 5 Palisades Dr Ste 100, Albany, 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 | 
|---|---|---|---|
| 1841678422 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 294602 (New York) | Primary | 
| Entity Name | Albany Medical College | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386  | 
| Entity Name | St. Peter's Health Partners Medical Associates, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567  | 
| Entity Name | Albany Medical College | 
|---|---|
| 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 | 
|---|---|
| Dr Vadim Divilov, MD Po Box 14890, Albany, NY 12212-4890 Ph: () -  | Dr Vadim Divilov, MD 5 Palisades Dr Ste 100, Albany, NY 12205-6433 Ph: (518) 438-4496  | 
Arunima Rajbhandary, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1550  | |
Dr. Rahul Ravilla, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 43 New Scotland Ave Ste 7, Albany, NY 12208 Phone: 518-262-6696 Fax: 518-262-2624  | |
Emmanuelle Cordero Torres, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave Dept Of Nephrology, Albany Medical Center, Albany, NY 12208 Phone: 518-262-5377  | |
Nancy Shrestha, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 5 Palisades Dr Ste 200, Albany, NY 12205 Phone: 518-471-3636 Fax: 518-471-3668  | |
Stephen Hillinger, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 400 Patroon Creek Blvd, Suite 1, Albany, NY 12206 Phone: 518-489-0044 Fax: 518-489-3591  | |
Louis H Gold, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5 Palisades Dr, Ste100, Albany, NY 12205 Phone: 518-438-4496  | |
Sean Joseph Sheehan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1375 Washington Ave, Suite 101, Albany, NY 12206 Phone: 518-438-4483 Fax: 518-482-4201  |