| NPI | 1598438301 |
|---|---|
| Other Name | ST. PETER'S PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | GARY TERK Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-09-11 |