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

NPI #1194249805 in Albany, New York

Provider Information

NPI Number: 1194249805
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: Internal Medicine - Endocrinology, Diabetes & Metabolism
Enumeration Date: Aug 3, 2017
Last Updated: Jan 31, 2023

Practice Location

Address: 63 SHAKER ROAD SUITE 201
Address 2: CAPITAL REGION DIABETES & ENDOCRINE CARE NDPP
City: Albany
State: New York
ZIP Code: 12204-1030
Phone: (518) 471-3636

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered	133V00000X
Registered Nurse - Diabetes Educator — Diabetes Educator	163WD0400X
Internal Medicine	207R00000X
Hospitalist	208M00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X	Primary

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