St. Peters Health Partners Medical Associates PC
Organization Active NPI Family Medicine Physician · Stone Ridge, NY
NPI 1104257252 · NPPES record last updated Jul 21, 2014
Key facts
- NPI
- 1104257252
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
- Practice address
- 10 Gagnon Dr
Stone Ridge, NY 12484-5120 - Phone
- (548) 687-7455
- NPI assigned
- Nov 27, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
- Name
- Paul Gordon
- Title
- Cfo
- Phone
- (518) 525-1585
National Provider Directory
- Part of
- St Peter'S Health Partners Medical Associates PC
Locations
4 Palisades Dr
Ste 200
Albany, NY 12205
Phone (518) 591-1121
10 Gagnon Dr
Ste 10
Stone Ridge, NY 12484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
10 Gagnon Dr
Stone Ridge, NY 12484-5120
Mailing address
10 Gagnon Dr
Stone Ridge, NY 12484-5120
Phone (548) 687-7455
Other providers in Stone Ridge, NY
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- Wayne William St Hill
- Alina Staicu-Alexander
- Stone Ridge Physical Therapy, PC
- Robert J Taylor
- Joseph Henry Tieri
- Sondra D. Tillou
All providers in Stone Ridge, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.