St. Mary's Healthcare

NPI #1063772838 in Johnstown, New York

Provider Information

NPI Number: 1063772838
Entity Type: Organization
Organization Name: St. Mary's Healthcare
Primary Specialty: Internal Medicine
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 700 SOUTH PERRY ST
City: Johnstown
State: New York
ZIP Code: 12095
Phone: (518) 762-3161

Authorized Official

Name: NANCY COLLINS
Title: DIRECTOR, PRIMARY CARE
Phone: (518) 841-7407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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