Provider Demographics
NPI:1376546242
Name:ALBERGO, LUCILLE A (NP)
Entity Type:Individual
Prefix:
First Name:LUCILLE
Middle Name:A
Last Name:ALBERGO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1368
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12201-1368
Mailing Address - Country:US
Mailing Address - Phone:518-226-6000
Mailing Address - Fax:518-226-6001
Practice Address - Street 1:3 CARE LN
Practice Address - Street 2:SUITE 300
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8623
Practice Address - Country:US
Practice Address - Phone:518-226-6000
Practice Address - Fax:518-226-6001
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301362363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400084851Medicare PIN
NYS81204Medicare UPIN