St. Peter's Hospital of the City of Albany

NPI #1487725750 in Rensselaer, New York

Provider Information

NPI Number: 1487725750
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 ADDICTION RECOVERY CENTER
Primary Specialty: Internal Medicine
Enumeration Date: Nov 10, 2006
Last Updated: Oct 11, 2021

Practice Location

Address: 53 COLUMBIA STREET
City: Rensselaer
State: New York
ZIP Code: 12144-2933
Phone: (518) 434-2526

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X
Pediatrics	208000000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
General Acute Care Hospital	282N00000X
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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