NPI | 1164767828 |
---|---|
Other Name | ST. PETER'S INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
133NN1002X Nutritionist, Nutrition, Education | |
Enumeration Date | 2012-12-06 |
Last Update Date | 2021-10-07 |