St. Peter'S Health Partners Medical Associates, P.C.
Internal Medicine in Albany, NY. Organization (NPI-2).
NPI number1164767828
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1164767828
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Peter'S Health Partners Medical Associates, P.C.
- Organization subpart
- Yes
- Enumeration date
- Dec 6, 2012
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 133NN1002X | Nutritionist, Nutrition, Education | – | – |
Other names
- St. Peter'S Internal Medicine (Other Name)
Practice location
4 Palisades Drive Suite 100St Peter'S Internal Medicine
Albany, NY 12205-1443
Phone 518-446-9545
Mailing address
Po Box 14890Albany, NY 12212-4890
Authorized official
Courtney Knowles
Credentialing Manager
5185255634
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