Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE MACKE (CFO PHYSICIAN ENTERPRISES)
(518) 591-1121
Entity
Organization
Contact information
Practice address
317 S MANNING BLVD, SUITE 280, ALBANY, NY 12208-1738
(518) 454-0846
Mailing address
PO BOX 12070, ALBANY, NY 12212-2070
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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