Organization · Type 2 NPI

NC Medical of Ny PC

Nurse Practitioner · Latham, NY

NPI number 1174483408 Active

Practice location

713 Troy Schenectady Rd Ste 133
Latham, NY 12110-2490

Mailing address

PO Box 1433
Portsmouth, NH 03802-1433

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

About NPI 1174483408

NC Medical of Ny PC's National Provider Identifier is 1174483408, issued on Nov 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Latham, NY. The record was last updated on Nov 18, 2025.