Organization
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Organization
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GORDON (DIRECTOR, FIN/ADMIN PHYS ENTERPRISE)
(518) 525-1585
Entity
Organization
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1585
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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