Organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Parent organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Other names
67 PROSPECT AVENUE-SUITE 210
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
PAUL GORDON (DIR FIN/ADMIN PHYS ENTERPRISE)
(518) 525-1585
Entity
Organization
Contact information
Practice address
67 PROSPECT AVE, SUITE 210, HUDSON, NY 12534-2917
(518) 458-2000
(518) 458-1524
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1585
(518) 525-6199
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
01/21/2014
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