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Organization
ST PETERS HOSPITAL
Active
Organization
ST PETERS HOSPITAL
Active
Other names
St Peters NICU Department
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA LOUGHRIDGE (MANAGER)
(518) 275-4090
Entity
Organization
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 275-4090
(518) 275-4004
Mailing address
PO BOX 8434, ALBANY, NY 12208-0434
(518) 275-4090
(518) 275-4004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02333773
—
NY
Enumeration date
01/24/2007
Last updated
08/03/2007
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