| NPI | 1992227714 |
|---|---|
| Other Name | ST. PETER'S BARIATRIC CARE |
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 133NN1002X Nutritionist Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 163WD0400X Registered Nurse Diabetes Educator | |
| 207R00000X Internal Medicine | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2021-10-07 |