Organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Active
Parent organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Other names
SPHPMA Radiology Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
147 HOOSICK STREET, TROY, NY 12180-2353
(518) 268-5370
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/17/2015
Last updated
04/30/2024
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