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

NPI #1962846022 in Albany, New York

Provider Information

NPI Number: 1962846022
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 ASSOCAITES, P.C.
Primary Specialty: Surgery
Enumeration Date: Apr 19, 2013
Last Updated: Oct 7, 2021

Practice Location

Address: 319 S MANNING BLVD STE 304
City: Albany
State: New York
ZIP Code: 12208-1744
Phone: (518) 525-5207

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Colon & Rectal Surgery	208C00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Surgery	208600000X	Primary

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