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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
SPH Dental Group Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
1092 MADISON AVENUE 2ND FLR, ALBANY, NY 12208-2248
(518) 525-1757
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
09/18/2014
Last updated
10/11/2021
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