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Organization
ST. PETER'S HOSPITALOF THE CITY OF ALBANY
Active
Organization
ST. PETER'S HOSPITALOF THE CITY OF ALBANY
Active
Parent organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Other names
St. Peter's Sports & Spine, St. Peter's Hospital Spine and Neurosurgery, St Peter's Spine & Neurosurgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Authorized official
GARY TERK (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
1182 TROY SCHENECTADY ROAD SUITE 100, LATHAM, NY 12110-1000
(518) 713-5400
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
NULL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/03/2015
Last updated
03/05/2025
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