NPI: 1407937477
Provider Name: ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Other Name: ST. PETER'S ADDICTION RECOVERY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 33D0890711
Address:
3 MERCYCARE LANE
GUILDERLAND, NY
ZIP 12084
Phone: (518) 452-6700
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ST. PETER'S HOSPITAL OF THE CITY OF ALBANY is a rehabilitation and substance use disorder clinic center in Guilderland, NY. ST. PETER'S HOSPITAL OF THE CITY OF ALBANY NPI is 1407937477. The provider is registered as an organization entity type.
The provider Other Name Is St. Peter's Addiction Recovery Center.
The provider's business location address is:
3 MERCYCARE LANE
GUILDERLAND, NY
ZIP 12084-504
Phone: (518) 452-6700
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 CLIA number assigned to this NPI record is 33D0890711 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/11/2021.