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Organization

ST PETER'S HOSPITAL

Active
Other names
St Peters Hospital Home Care Dept
Organization subpart
No

Provider details

NPI number
Authorized official
LORI SANTOS (CFO)
(518) 525-5537
Entity
Organization

Contact information

Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-6000
Mailing address
4 PALISADES DRIVE, SUITE 200, ALBANY, NY 12205
(518) 591-1121
(518) 525-6002

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
0101602
NY
251E00000X
Home Health Agency
Primary
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000400022002
NORTHEASTERN NY
01
000980
EMPIRE BC
05
00318823
NY
01
10098081
CDPHP
Enumeration date
05/30/2006
Last updated
03/02/2016
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