| NPI | 1629512876 |
|---|---|
| Doing Business As | ST. PETER'S INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2019-12-16 |