Organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Active
Parent organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
Authorized official
PAUL GORDON (CFO)
(518) 525-5214
Entity
Organization
Contact information
Practice address
2 EMPIRE DR, RENSSELAER, NY 12144-5730
(518) 286-4899
Mailing address
2 EMPIRE DR, RENSSELAER, NY 12144-5730
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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