| NPI | 1497178099 |
|---|---|
| Other Name | ST. PETER'S CENTER FOR MS AND HEADACHE CARE |
| Other Name | ST. PETER'S GENERAL NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-06-16 |