Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Parent organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Other names
St. Peter's Internal Medicine
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
147 HOOSICK STREET SUITE K, TROY, NY 12180-2393
(518) 268-5370
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
09/17/2018
Last updated
03/07/2022
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