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

State of New York

Organization Orthopaedic Surgery Physician · NPI 1619454709

State of New York is an Orthopaedic Surgery Physician in Albany, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1400 Washington Ave
Albany, NY 12222-0100
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1619454709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerard Koloskie — Authorized Official · (518) 591-8566
Other names Ua-Suny Sports Medicine
NPI enumeratedJuly 23, 2018
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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