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 |