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Organization

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Other names
St. Peter's Maternal Fetal Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Authorized official
GARY TERK (CREDENTIALING & ENROLLMENT MANAGER)
(518) 525-5634
Entity
Organization

Contact information

Practice address
400 PATROON CREEK BLVD STE 108, ALBANY, NY 12206-5014
(518) 445-4325
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207VM0101X
Maternal & Fetal Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
09/19/2022
Last updated
11/13/2024
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