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Organization

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Other names
SPHPMA Radiology Division
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization

Contact information

Practice address
1270 BELMONT AVENUE, SPHPMA RADIOLOGY DIVISION, SCHENECTADY, NY 12308-2104
(518) 382-4558
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
2085N0904X
Nuclear Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician
261QM1300X
Multi-Specialty Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
01/24/2019
Last updated
10/07/2021
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