Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
JANICE MACKE (CFO)
(518) 525-6931
Entity
Organization
Contact information
Practice address
2 NEW HAMPSHIRE AVENUE, CAPITAL REGION DIABETES & ENDOCRINE CARE, TROY, NY 12180-1764
(518) 687-9778
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 591-1121
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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