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Organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Active
Organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Active
Parent organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
PAUL GORDON (CFO)
(518) 525-1585
Entity
Organization
Contact information
Practice address
10 GAGNON DR, STONE RIDGE, NY 12484-5120
(548) 687-7455
Mailing address
10 GAGNON DR, STONE RIDGE, NY 12484-5120
(548) 687-7455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
07/21/2014
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