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Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Active
Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PC
Other names
St. Peter's Gynecology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PC
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
31 LOWER HUDSON AVENUE, ST PETER'S GYNCEOLOGY, GREEN ISLAND, NY 12183-1014
(518) 272-9140
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
NULL
176B00000X
Midwife
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/17/2012
Last updated
10/07/2021
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