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Organization

ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC

Active
Parent organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Other names
PRIME CARE-17 GLENN POND ROAD
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
PAUL GORDON (DIR FIN/ADMIN PHYS ENTERPRISE)
(518) 525-1585
Entity
Organization

Contact information

Practice address
17 GLEN POND DR, RED HOOK, NY 12571-1840
(845) 758-6046
(845) 758-6051
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1585
(518) 525-6199

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
12/06/2012
Last updated
01/21/2014
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