| St. Mary's Healthcare | |
|
427 Guy Park Ave Amsterdam NY 12010-1054 | |
| (518) 841-7101 | |
| (518) 842-0107 |
| Full Name | St. Mary's Healthcare |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 427 Guy Park Ave, Amsterdam, New York |
| Authorized Official Name and Position | Victor Giulianelli (PRESIDENT/CEO) |
| Authorized Official Contact | 5188417101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Healthcare 427 Guy Park Ave Amsterdam NY 12010-1054 Ph: (518) 841-7101 | St. Mary's Healthcare 427 Guy Park Ave Amsterdam NY 12010-1054 Ph: (518) 841-7101 |
| NPI Number | 1164497103 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 07/05/2011 |
| Medicare PECOS PAC ID | 7618960709 |
|---|---|
| Medicare Enrollment ID | O20071228000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164497103 | NPI | - | NPPES |
| 00351639 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7328020 (New York) | Primary |
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