| NPI | 1598138208 |
|---|---|
| Other Name | ST. PETER'S HOSPITAL SPINE AND NEUROSURGERY |
| Other Name | ST PETER'S SPINE & NEUROSURGERY |
| Other Name | ST. PETER'S SPORTS & SPINE |
| Entity Type | Organization |
| Authorized Contact | GARY TERK Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207X00000X Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 282N00000X General Acute Care Hospital | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2025-03-05 |