| NPI | 1750626404 |
|---|---|
| Other Name | ST. PETER'S PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Manager Credentialing & Enrollment 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2023-08-29 |