St. Peters Health Partners Medical Associates, PC

NPI #1508247487 in Mechanicville, New York

Provider Information

NPI Number
1508247487
Entity Type
Organization
Organization Name
St. Peters Health Partners Medical Associates, PC
Subpart
Yes (part of a larger organization)
Parent Organization
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jun 16, 2015
Last Updated
Jun 16, 2015

Practice Location

Address
202 S CENTRAL AVE
ZIP Code
12118-3522
Phone
(518) 664-6125

Authorized Official

Name
PAUL GORDON
Title
CFO PHYSICIAN ENTERPRISES
Phone
(518) 525-1585

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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