# ST. PETER'S HOSPITAL OF THE CITY OF ALBANY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
- **Other names:** St. Peter's Inpatient Physical Therapy, St. Peter's Hospital Neurology, St. Peter's Hospital Intensive Care Unit, St. Peter's Intpatient Rehabilitation, St. Peter's Hospital Critical Care Unit, Thoracic and Vascular Surgery, St. Peter's Clinical Nutrition, St. Peter's Inpatient Speech Pathology, St. Peter's Inpatient Audiology Rehabilitation, St. Peter's Hospital Physical Rehabilitation Services, St. Peter's Regional ALS Center, St. Peter's Hospital Cardiac and Vascular Center, St. Peter's Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518042357
- **Legal business name:** ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
- **Authorized official:** GARY TERK (CREDENTIALING MANAGER)
- **Authorized official phone:** (518) 525-5634

## Contact information

- **Practice address:** 315 SOUTH MANNING BLVD, ALBANY, NY 12208-1707
- **Practice address phone:** (518) 525-1550
- **Practice address fax:** (518) 275-4090
- **Mailing address:** PO BOX 14890, ALBANY, NY 12212-4890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |
| 283X00000X | Rehabilitation Hospital | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 09/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03011194 | — | NY |