| NPI | 1104356070 |
|---|---|
| Other Name | ST. PETER'S BARIATRIC AND METABOLIC CARE |
| Entity Type | Organization |
| Authorized Contact | GARY TERK Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2025-08-28 |