ST. PETER'S AMBULATORY SURGERY CENTER LLC NPI 1750376836

NPI Information

ST. PETER'S AMBULATORY SURGERY CENTER LLC is an ambulatory surgical clinic center in Albany, NY. ST. PETER'S AMBULATORY SURGERY CENTER LLC NPI is 1750376836. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Peter's Surgery & Endoscopy Center.

The provider's business location address is:

1375 WASHINGTON AVE
SUITE 201
ALBANY, NY
ZIP 12206-056
Phone: (518) 533-3420
Fax: (518) 533-3424

The provider's authorized official is James A Torre .
The authorized official title is Executive Director/administrator and has the following contact phone number (518) 533-3420.

The CLIA number assigned to this NPI record is 33D0998153 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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