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Organization

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Other names
Capital Region Diabetes and Endocrine Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization

Contact information

Practice address
2 EMPIRE DRIVE SUITE 100, CAPITAL REGION DIABETES & ENDOCRINE CARE, RENSSELAER, NY 12144-5730
(518) 471-3636
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
104100000X
Social Worker
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center
363L00000X
Nurse Practitioner

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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