# SAMARITAN HOSPITAL OF TROY, NEW YORK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAMARITAN HOSPITAL OF TROY, NEW YORK
- **Other names:** Capital Region Diabetes & Endocrine Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407190044
- **Legal business name:** SAMARITAN HOSPITAL OF TROY, NEW YORK
- **Authorized official:** COURTNEY KNOWLES (CREDENTIALING MANAGER)
- **Authorized official phone:** (518) 525-5634

## Contact information

- **Practice address:** 279 TROY RD, RENSSELAER, NY 12144-9756
- **Practice address phone:** (518) 880-6320
- **Mailing address:** PO BOX 14890, ALBANY, NY 12212-4890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 282N00000X | General Acute Care Hospital | 4102002H | NY | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/20/2012
- **Last updated:** 02/24/2022