| St. Peter's Neonatal Intensive Care Unit | |
|
315 South Manning Blvd Albany NY 12208-1707 | |
| (518) 525-6560 | |
| Not Available |
| Full Name | St. Peter's Neonatal Intensive Care Unit |
|---|---|
| Speciality | Pediatrics |
| Location | 315 South Manning Blvd, Albany, New York |
| Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5185255634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Peter's Neonatal Intensive Care Unit Po Box 14890 Albany NY 12212-4890 Ph: () - | St. Peter's Neonatal Intensive Care Unit 315 South Manning Blvd Albany NY 12208-1707 Ph: (518) 525-6560 |
| NPI Number | 1265508659 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265508659 | NPI | - | NPPES |
| 02333773 | Medicaid | NY |
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