Healthcare Provider Details

I. General information

NPI: 1700892197
Provider Name (Legal Business Name): ST. CLARE'S HOSPITAL OF SCHENECTADY NEW YORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MCCLELLAN ST
SCHENECTADY NY
12304-1009
US

IV. Provider business mailing address

600 MCCLELLAN ST
SCHENECTADY NY
12304-1009
US

V. Phone/Fax

Practice location:
  • Phone: 518-347-5606
  • Fax: 518-347-5409
Mailing address:
  • Phone: 518-347-5606
  • Fax: 518-347-5409

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. EDWARD GASPAROVIC
Title or Position: VICE PRESIDENT FINANCE
Credential:
Phone: 518-347-5606