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 AVE, ST. PETER'S BARIATRIC CARE, TROY, NY 12180-1764
(518) 591-1121
(518) 649-4094
Mailing address
PO BOX 14890, SPHP PAYER CREDENTIALING, ALBANY, NY 12212-4890
(518) 591-1121
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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