Healthcare Provider Details

I. General information

NPI: 1437225828
Provider Name (Legal Business Name): ST PETERS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINEWEST PLAZA SUITE 101
ALBANY NY
12205
US

IV. Provider business mailing address

PO BOX 8424
ALBANY NY
12208-0424
US

V. Phone/Fax

Practice location:
  • Phone: 518-464-9999
  • Fax:
Mailing address:
  • Phone: 518-275-4090
  • Fax: 518-275-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: VERONICA LOUGHRIDGE
Title or Position: PATIENT FINANCIAL SVCS
Credential: MANAGER
Phone: 518-275-4090