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400 Patroon Creek Blvd Suite 200 St. Peter's Pediatrics Albany NY 12206-5014 | |
(518) 525-2445 | |
(518) 475-7069 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 400 Patroon Creek Blvd Suite 200, Albany, New York |
Authorized Official Name and Position | Courtney Knowles (MANAGER CREDENTIALING & ENROLLMENT) |
Authorized Official Contact | 5185255634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 14890 Albany NY 12212-4890 Ph: () - | 400 Patroon Creek Blvd Suite 200 St. Peter's Pediatrics Albany NY 12206-5014 Ph: (518) 525-2445 |
NPI Number | 1750626404 |
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Provider Enumeration Date | 12/06/2012 |
Last Update Date | 08/29/2023 |
Identifier | Type | State | Issuer |
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1750626404 | NPI | - | NPPES |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |