Organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Parent organization
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
PAUL GORDON (CFO PHYSICIAN ENTERPRISES)
(518) 525-1585
Entity
Organization
Contact information
Practice address
202 S CENTRAL AVE, MECHANICVILLE, NY 12118-3522
(518) 664-6125
Mailing address
4 PALISADES DR, SUITE 200, ALBANY, NY 12205-1449
(518) 435-2745
(518) 649-4060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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