Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PC
Other names
St. Peter's Radiation Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PC
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
317 SOUTH MANNING BLVD SUITE 100, ST PETER'S RADIATION ONCOLOGY, ALBANY, NY 12208-3917
(518) 525-1404
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
11/27/2013
Last updated
10/07/2021
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