| NPI | 1265308845 |
|---|---|
| Other Name | ST. PETER'S FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GARY TERK Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |