Organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Active
Parent organization
SAMARITAN HOSPITAL OF TROY, NEW YORK
Other names
Troy Pediatric Health Center, St. Peter's Pediatrics at Burdett Birth Center
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
1300 MASSACHUSETTS AVENUE, TROY PEDIATRIC HEALTH CENTER, TROY, NY 12180-1628
(518) 272-7614
(518) 272-4365
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/17/2018
Last updated
03/07/2022
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