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Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Parent organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Other names
Latham Primary Care Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN HOSPITAL OF TROY, NEW YORK
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
1 BELL TOWER DR, WATERVLIET, NY 12189-2333
(518) 268-6390
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/14/2018
Last updated
10/11/2021
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