Organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Active
Parent organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Other names
St. Peter's Addiction Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Authorized official
COURTNEY KNOWLES (CREDENTIALING & ENROLLMENT MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
315 S MANNING BLVD STE 6408A, ALBANY, NY 12208-1707
(518) 525-1303
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/03/2015
Last updated
05/24/2023
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