# SAMARITAN HOSPITAL OF TROY, NEW YORK

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- **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:** 1447760681
- **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:** 55 MOHAWK STREET SUITE 105, COHOES, NY 12047-2600
- **Practice address phone:** (518) 235-7282
- **Mailing address:** PO BOX 14890, ALBANY, NY 12212-4890
- **Mailing address phone:** (518) 525-5634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |
| 282N00000X | General Acute Care Hospital | — | — | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/02/2017
- **Last updated:** 02/24/2022