| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEMITRI PODOLSKI | 1386175693 | 2024-04-06 |
Demitri Podolski is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386175693. Registration indicates Demitri Podolski is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Anesthesiology) (Anesthesiology: Pediatric Anesthesiology, ) (All Other Specialties & Provider Types, ) (Anesthesiology Pediatric Anesthesiology, Allopathic & Osteopathic Physicians) (Anesthesiology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Demitri Podolski M.D. |
| Practice Office Address | 47 NEW SCOTLAND AVE DEPT. OF ANESTHESIOLOGY ALBANY, NY US |
| Practice Office Telephone | 5182624302 |
| Mailing Address | 47 NEW SCOTLAND AVE DEPT. OF ANESTHESIOLOGY ALBANY, NY 122083412 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 63934
NY |
| 207LP3000X PRIMARY | Allopathic & Osteopathic Physicians Anesthesiology Anesthesiology: Pediatric Anesthesiology All Other Specialties & Provider Types Anesthesiology Pediatric Anesthesiology Allopathic & Osteopathic Physicians Anesthesiology | ME148729
FL |