St. Peter's Hospital of the City of Albany

NPI #1063227544 in Latham, New York

Provider Information

NPI Number: 1063227544
Entity Type: Organization
Organization Name: St. Peter's Hospital of the City of Albany
Subpart: Yes (part of a larger organization)
Parent Organization: ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 11, 2025
Last Updated: Mar 5, 2025

Practice Location

Address: 1182 TROY SCHENECTADY RD STE 100
City: Latham
State: New York
ZIP Code: 12110-1000
Phone: (518) 269-4690

Authorized Official

Name: GARY TERK
Title: CREDENTIALING MANAGER
Phone: (518) 525-5634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery — Adult Reconstructive Orthopaedic Surgery	207XS0114X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
General Acute Care Hospital	282N00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Orthopaedic Surgery	207X00000X	Primary

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