# ST. PETER'S HOSPITALOF 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 Sports & Spine, St. Peter's Hospital Spine and Neurosurgery, St Peter's Spine & Neurosurgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598138208
- **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:** 1182 TROY SCHENECTADY ROAD SUITE 100, LATHAM, NY 12110-1000
- **Practice address phone:** (518) 713-5400
- **Mailing address:** PO BOX 14890, ALBANY, NY 12212-4890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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