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ST. PETER'S HOSPITAL OF THE CITY OF ALBANY NPI 1144407024


NPI Information

NPI: 1144407024
Provider Name: ST. PETER'S HOSPITAL OF THE CITY OF ALBANY

Other Name: ST. PETERS MEDICAL ONCOLOGY HEMATOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
317 SOUTH MANNING BLVD SUITE 220
ALBANY, NY
ZIP 12208
Phone: (518) 525-6418
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ST. PETER'S HOSPITAL OF THE CITY OF ALBANY is a hematology and oncology internal medicine in Albany, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ST. PETER'S HOSPITAL OF THE CITY OF ALBANY NPI is 1144407024. The provider is registered as an organization entity type.
The provider Other Name Is St. Peters Medical Oncology Hematology.

The provider's business location address is:

317 SOUTH MANNING BLVD SUITE 220
ALBANY, NY
ZIP 12208-738
Phone: (518) 525-6418

The provider's authorized official is Courtney Knowles .
The authorized official title is Credentialing Manager and has the following contact phone number (518) 525-5634.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 10/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4261QM1300XClinic/CenterMulti-SpecialtyNo
5363LA2100XNurse PractitionerAcute CareNo
6207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102333773MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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