Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Memorial Hospital, Albany, N.y.

Organization Family Medicine Physician · NPI 1114274826

Memorial Hospital, Albany, N.y. provides Family Medicine Physician services 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

63 Shaker Rd Ste G02
Albany, NY 12204-1030
Phone: (518) 449-5352
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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 number1114274826
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Hospital, Albany, N.y.
Authorized official Lori Santos — Cfo · (518) 525-5537
NPI enumeratedAugust 13, 2012
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing addressPo Box 14890, Albany, NY 12212-4890

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