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Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Parent organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Other names
Clifton Park Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN HOSPITAL OF TROY, NEW YORK
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
1 TALLOW WOOD DRIVE, CLIFTON PARK, NY 12065-2807
(518) 373-4500
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/14/2018
Last updated
02/24/2022
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