Organization
ST PETERS HOSPITAL
Active
Other names
St Peters Hospital Rehab Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES GAVIN (CFO TREASURER)
(518) 525-1499
Entity
Organization
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1789
(518) 275-4087
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208
(518) 275-4087
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000022
EMPIRE BCBS
—
01
—
000400022000
NORTHEASTERN
NY
05
—
00318823
—
NY
01
—
10005852
CDPHP
—
Enumeration date
06/07/2006
Last updated
08/22/2020
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