| NPI | 1083031983 | 
|---|---|
| Other Name | ST. PETER'S GENERAL SURGERY | 
| Entity Type | Organization | 
| Authorized Contact | KELLIE VALENTI President 518-525-5634  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 208600000X Surgery | 
| Additional Taxonomies | 261Q00000X Clinic/Center | 
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-03-28 | 
| Last Update Date | 2024-03-28 |