Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Parent organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Other names
Surgery, Hospital Medicine Department, St. Peter's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAMARITAN HOSPITAL OF TROY, NEW YORK
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
2215 BURDETT AVENUE, TROY, NY 12180-2466
(518) 271-3300
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/20/2017
Last updated
03/07/2022
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