Healthcare Provider Details

I. General information

NPI: 1326469008
Provider Name (Legal Business Name): ST PETERS HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2013
Last Update Date: 12/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 2ND AVE
ALBANY NY
12202-1240
US

IV. Provider business mailing address

64 2ND AVE
ALBANY NY
12202-1240
US

V. Phone/Fax

Practice location:
  • Phone: 518-449-5170
  • Fax:
Mailing address:
  • Phone: 518-449-5170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVE LAPE
Title or Position: PROGRAM MANAGER
Credential: LCSW
Phone: 518-449-5170