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ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES P.C. NPI 1497178099


NPI Information

NPI: 1497178099
Provider Name: ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Other Name: ST. PETER'S CENTER FOR MS AND HEADACHE CARE

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
63 SHAKER RD STE G01
ALBANY, NY
ZIP 12204
Phone: (518) 429-2561
Get Directions

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. is a neurology psychiatry neurology in Albany, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. NPI is 1497178099. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Peter's Center For Ms And Headache Care.

The provider's business location address is:

63 SHAKER RD STE G01
ALBANY, NY
ZIP 12204-030
Phone: (518) 429-2561

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 2/3/2014 and was last updated on 6/16/2018.


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
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
42084N0400XPsychiatry & NeurologyNeurologyYes

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
103539695MEDICAIDNEW 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: 11/14/2023

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