Organization
SPHPMA CRUS UROLOGY
Active
Parent organization
ST. PETERS HEALTH PARTNERS MEDICAL ASSCOIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETERS HEALTH PARTNERS MEDICAL ASSCOIATES PC
Authorized official
PAUL GORDON (CFO)
(518) 525-1585
Entity
Organization
Contact information
Practice address
4 EXECUTIVE PARK DR, ALBANY, NY 12203-3718
(518) 489-7494
(518) 489-7641
Mailing address
4 EXECUTIVE PARK DR, ALBANY, NY 12203-3718
(518) 489-7494
(518) 489-7641
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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