# ST. MARY'S HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780944553
- **Authorized official:** NANCY COLLINS (DIRECTOR, PRIMARY CARE)
- **Authorized official phone:** (518) 841-7407

## Contact information

- **Practice address:** 331 BRIDGE STREET, NORTHVILLE, NY 12134
- **Practice address phone:** (518) 863-4200
- **Practice address fax:** (518) 863-4787
- **Mailing address:** 380 GUY PARK AVE, AMSTERDAM, NY 12010
- **Mailing address phone:** (518) 841-7430
- **Mailing address fax:** (518) 841-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 157873 | NY | Yes |

## Other

- **Enumeration date:** 05/25/2012
- **Last updated:** 05/25/2012