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Organization

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Other names
St Peter's Neurology, St. Peter's MS and Headache Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization

Contact information

Practice address
63 SHAKER ROAD SUITE G01, ST. PETER'S MS AND HEADACHE CENTER, ALBANY, NY 12204-1030
(518) 213-1443
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 649-4094

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2084N0600X
Clinical Neurophysiology Physician
208M00000X
Hospitalist Physician
261QM1300X
Multi-Specialty Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
04/25/2016
Last updated
10/07/2021
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