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General NPI Number Information
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NPI Number | 1093762460
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Entity Type | Organization
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Legal Business Name | ST PETER'S HOSPITAL
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 315 S MANNING BLVD
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City | ALBANY
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State | NY
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Zip | 12208-1707
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Country | US
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Telephone | 518-525-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 4 PALISADES DRIVE SUITE 200
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City | ALBANY
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State | NY
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Zip | 12205
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Country | US
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Telephone | 518-591-1121
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Fax | 518-525-6002
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Authorized Official
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Title or Position | CFO
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Name | LORI SANTOS
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Credential |
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Telephone | 518-525-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0101602
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NY
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