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St. Peter'S Health Partners Medical Associates, P.C.

Internal Medicine in Albany, NY. Organization (NPI-2).

NPI number1356686331
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1356686331
Entity type
Organization (NPI-2)
Legal business name
St. Peter'S Health Partners Medical Associates, P.C.
Organization subpart
Yes
Enumeration date
Dec 3, 2012
Certification date
Oct 23, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
261QM1300X Clinic/Center, Multi-Specialty––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Other names

  • St. Peter'S Internal Medicine (Other Name)
  • Braverman-Panza Internal Medicine (Other Name)

Practice location

1375 Washington Ave Ste 202
St. Peter'S Internal Medicine
Albany, NY 12206-1056

Phone 518-482-0007

Mailing address

Po Box 14890
Albany, NY 12212-4890

Authorized official

Courtney Knowles
Credentialing Manager
5185255634

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