MEDICARE: UPSTATE NPS IN FAMILY HEALTH, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163W00000X	Registered Nurse
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	101YM0800X	Mental Health Counselor
4	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1740164631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPSTATE NPS IN FAMILY HEALTH, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 24
Second Line	:
City	:	COHOES
State	:	NY
Zip	:	12047-0024
Country	:	US
Telephone Number	:	518-350-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 BROADWAY
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12207-2922
Country	:	US
Telephone Number	:	518-350-8700
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC ROBERT SANTELL
Credential	:
Telephone Number	:	518-350-8700

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	04/10/2026

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