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Organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Parent organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Other names
63 SHAKER ROAD-SUITE 102
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
PAUL GORDON (DIR FIN/ADMIN PHYS ENTERPRISE)
(518) 525-1585
Entity
Organization
Contact information
Practice address
63 ALBANY SHAKER RD, SUITE 102, ALBANY, NY 12204-1030
(518) 207-2710
(518) 207-2713
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1585
(518) 525-6199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
01/21/2014
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