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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