MEDICARE: SAMARITAN HOSPITAL OF TROY, NEW YORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	4102002H	NY
2	207R00000X	Internal Medicine Physician
3	207X00000X	Orthopaedic Surgery Physician
4	363A00000X	Physician Assistant
5	261QM1300X	Multi-Specialty Clinic/Center
6	363L00000X	Nurse Practitioner
7	207Q00000X	Family Medicine Physician	4102002H	NY

General Provider Information

NPI Number	:	1396092268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMARITAN HOSPITAL OF TROY, NEW YORK

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 LOWER HUDSON AVENUE VILLAGE PLAZA
Second Line	:
City	:	GREEN ISLAND
State	:	NY
Zip	:	12183-1014
Country	:	US
Telephone Number	:	518-237-7033
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	COURTNEY KNOWLES
Credential	:
Telephone Number	:	518-525-5634

Provider Enumeration Date	:	08/10/2012
Last Update Date	:	02/24/2022

Similar Medicare Providers

1952325649 — DR. WILLIAM J HENNESSEY MD PC
Practice Location Address:

31 LOWER HUDSON AVE
GREEN ISLAND, NY
12183-1014

Practice Phone: 518-272-9140
Practice Fax:

1033225560 — WILLIAM J HENNESSEY MD PC
Practice Location Address:

31 LOWER HUDSON AVE
GREEN ISLAND, NY
12183-1014

Practice Phone: 518-272-9140
Practice Fax:

1396851846 — MR. JANE E WEBER N.P.
Practice Location Address:

31 LOWER HUDSON AVE
GREEN ISLAND, NY
12183-1014

Practice Phone: 518-272-9140
Practice Fax:

1427394675 — ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Practice Location Address:

31 LOWER HUDSON AVENUE , ST PETER'S GYNCEOLOGY
GREEN ISLAND, NY
12183-1014

Practice Phone: 518-272-9140
Practice Fax:

1588229926 — ELISABETH KUSIAK PA-C
Practice Location Address:

31 LOWER HUDSON AVE
GREEN ISLAND, NY
12183-1014

Practice Phone: 518-272-9140
Practice Fax: 518-272-9145

1770551228 — EMPIRE HOME INFUSION SERVICE INC
Practice Location Address:

60 COHOES AVE
GREEN ISLAND, NY
12183-1587

Practice Phone: 518-271-9600
Practice Fax: 518-271-3816

Directions to “SAMARITAN HOSPITAL OF TROY, NEW YORK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.