| Upstate Infectious Diseases Associates, Llp | |
|
404 New Scotland Ave Albany NY 12208-2725 | |
| (518) 435-0662 | |
| (518) 435-0664 |
| Full Name | Upstate Infectious Diseases Associates, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 404 New Scotland Ave, Albany, New York |
| Authorized Official Name and Position | Gina M Kabrehl (PRACTICE MANAGER) |
| Authorized Official Contact | 5184350662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Infectious Diseases Associates, Llp 404 New Scotland Ave Albany NY 12208-2725 Ph: (518) 435-0662 | Upstate Infectious Diseases Associates, Llp 404 New Scotland Ave Albany NY 12208-2725 Ph: (518) 435-0662 |
| NPI Number | 1568492247 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 09/16/2014 |
| Medicare PECOS PAC ID | 9537147608 |
|---|---|
| Medicare Enrollment ID | O20040713001581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568492247 | NPI | - | NPPES |
| 2034 | Other | NY | CDPHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 181447 (New York) | Primary |
| Provider Name | Anita Kiehl |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487744116 PECOS PAC ID: 4880672955 Enrollment ID: I20040713001590 |
| Provider Name | Ellis H Tobin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306922166 PECOS PAC ID: 8527065390 Enrollment ID: I20070307000372 |
| Provider Name | Philip J Palmieri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376582411 PECOS PAC ID: 2163429937 Enrollment ID: I20070907000620 |
| Provider Name | Kristina M Roddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659415693 PECOS PAC ID: 8325119126 Enrollment ID: I20080623000351 |
| Provider Name | Sarah L Elmendorf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104919752 PECOS PAC ID: 3971500745 Enrollment ID: I20100519000341 |
| Provider Name | Robin Hampton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720055940 PECOS PAC ID: 8527019850 Enrollment ID: I20160525001068 |
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