| NPI | 1235503871 |
|---|---|
| Other Name | ST. PETER'S PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LORI SANTOS CFO 518-525-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-10-02 |