Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Memorial Hospital, Albany, N.y.

Organization Family Medicine Physician · NPI 1487901351

Memorial Hospital, Albany, N.y. is a Family Medicine Physician in Albany, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
5
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Practice location Address checks out

1440 Western Ave
Albany, NY 12203-3421
Phone: (518) 482-0214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 0101003H (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101003H (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101003H (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0101003H (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 0101003H (NY)

Record details

NPI number1487901351
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Hospital, Albany, N.y.
Authorized official Lori Santos — Cfo · (518) 525-5537
Other names Capital District Internal Medicine
NPI enumeratedAugust 10, 2012
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing addressPo Box 14890, Albany, NY 12212-4890

Other providers in Albany