| NPI | 1831811553 |
|---|---|
| Other Name | ST. PETER'S MATERNAL FETAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GARY TERK Credentialing & Enrollment Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 176B00000X Midwife |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-11-13 |