St. Peter's Health Partners Medical Associates, P.c.

NPI #1174954606 in Albany, New York

Provider Information

NPI Number: 1174954606
Entity Type: Organization
Organization Name: St. Peter's Health Partners Medical Associates, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Primary Specialty: Surgery
Enumeration Date: Dec 10, 2013
Last Updated: Oct 7, 2021

Practice Location

Address: 317 SOUTH MANNING BLVD SUITE C364
Address 2: ST PETER'S BREAST SURGERY
City: Albany
State: New York
ZIP Code: 12208-1738
Phone: (518) 641-6936

Authorized Official

Name: COURTNEY KNOWLES
Title: CREDENTIALING MANAGER
Phone: (518) 525-5634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Surgery	208600000X	Primary

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