Organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Active
Parent organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Authorized official
PAUL GORDON (CFO PHYSICIAN ENTERPRISE)
(518) 525-1585
Entity
Organization
Contact information
Practice address
319 S MANNING BLVD, SUITE 304, ALBANY, NY 12208-1742
(518) 525-5206
(518) 525-5209
Mailing address
319 S MANNING BLVD, SUITE 304, ALBANY, NY 12208-1742
(518) 525-5206
(518) 525-5209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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