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Organization

ST. PETER'S HOSPITALOF THE CITY OF ALBANY

Active
Parent organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Other names
St. Peter's Sports & Spine, St. Peter's Hospital Spine and Neurosurgery, St Peter's Spine & Neurosurgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Authorized official
GARY TERK (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization

Contact information

Practice address
1182 TROY SCHENECTADY ROAD SUITE 100, LATHAM, NY 12110-1000
(518) 713-5400
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician
Primary
261QM1300X
Multi-Specialty Clinic/Center
282N00000X
General Acute Care Hospital
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
11/03/2015
Last updated
03/05/2025
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