NPI | 1356686331 |
---|---|
Other Name | ST. PETER'S INTERNAL MEDICINE |
Other Name | BRAVERMAN-PANZA INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2012-12-03 |
Last Update Date | 2023-10-24 |