State University of New York at Albany

Primary specialty

PharmacyTaxonomy code 333600000X

License

022074 Issued in NY

Legal business name

STATE UNIVERSITY OF NEW YORK AT ALBANY

Practice address

1400 Washington Ave
Student Health Services
Albany, NY 12222

Phone

(518) 442-5463

Fax

(518) 442-5444

NPI assigned

Feb 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerard B Marino

Title

University Controller

Phone

(518) 956-8095

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1902297641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON AVE",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12222",
            "telephone_number": "518-442-5463",
            "fax_number": "518-442-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WASHINGTON AVE",
            "address_2": "STUDENT HEALTH SERVICES",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12222",
            "telephone_number": "518-442-5463",
            "fax_number": "518-442-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF NEW YORK AT ALBANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "UNIVERSITY CONTROLLER",
        "authorized_official_telephone_number": "518-956-8095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "022074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of New York
• State of New York
• State of New York Comptrollers Office
• State of New York Comptrollers Office
• State of New York Comptrollers Office
• Matthew C Staudt
• Jamie Stauss, DMD
• Hania W Stawowy, MD
• Lauren Stearns
• Avery Alexandra Stec

• Pharmacy in Albany, NY
• Providers in Albany, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.