St. Peter's Addiction Recovery Center is a primary clinic (Clinic/center - Rehabilitation, Substance Use Disorder) in Guilderland, New York. The current practice location for St. Peter's Addiction Recovery Center is 3 Mercycare Lane, Guilderland, New York. For appointments, you can reach them via phone at
(518) 452-6700. The mailing address for St. Peter's Addiction Recovery Center is Po Box 14890, Albany, New York and phone number is () -.
St. Peter's Addiction Recovery Center is licensed to practice in New York (license number 0101004H) and its
NPI number is 1407937477. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(518) 452-6700.
Primary Care Clinic Profile
| Full Name | St. Peter's Addiction Recovery Center |
|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
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| Location | 3 Mercycare Lane, Guilderland, New York |
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| Authorized Official Name and Position | Courtney Knowles (CREDENTIALING & ENROLLMENT MANAGER) |
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| Authorized Official Contact | 5185255634 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
St. Peter's Addiction Recovery Center
Po Box 14890
Albany
NY 12212-4890
Ph: () - | St. Peter's Addiction Recovery Center
3 Mercycare Lane
Guilderland
NY 12084-3504
Ph: (518) 452-6700 |
NPI Details:
| NPI Number | 1407937477 |
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| Provider Enumeration Date | 10/18/2006 |
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| Last Update Date | 05/24/2023 |
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Medical Identifiers
Medical identifiers for St. Peter's Addiction Recovery Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407937477 | NPI | - | NPPES |
| 10005852 | Other | NY | REHAB SUBSTANCE USE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 0101004H (New York) | Primary |
| 282N00000X | General Acute Care Hospital | 0101004H (New York) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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