Organization
ST. PETER'S HOSPITALOF THE CITY OF ALBANY
Active
Parent organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Other names
St. Peter's Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
326 SOUTH PEARL STREET, ALBANY, NY 12202-1914
(518) 449-0100
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233373773
—
NY
Enumeration date
11/10/2006
Last updated
10/11/2021
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