| NPI | 1265508659 |
|---|---|
| Other Name | ST. PETER'S NEONATAL INTENSIVE CARE UNIT |
| Other Name | ST. PETER'S HOSPITAL INPATIENT PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 282N00000X General Acute Care Hospital | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2021-10-11 |