St. Peter'S Health Partners Medical Associates, P.C.
Internal Medicine in Albany, NY. Organization (NPI-2).
NPI number1144565714
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1144565714
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Peter'S Health Partners Medical Associates, P.C.
- Organization subpart
- Yes
- Enumeration date
- Dec 7, 2012
- Certification date
- Oct 6, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | |
| 133V00000X | Dietitian, Registered | – | – | |
| 207P00000X | Emergency Medicine | – | – |
Other names
- St. Peter'S Internal And Family Medicine (Other Name)
Practice location
1444 Western Ave Ste B2St Peter'S Internal And Family Medicine
Albany, NY 12203-3458
Phone 518-458-8014
Mailing address
Po Box 14890Albany, NY 12212-4890
Fax 518-525-6199
Authorized official
Courtney Knowles
Credentialing Manager
5185255634
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