Organization Name: | ST PETER'S HOSPITAL |
NPI Number: | 1376761858 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI SANTOS (CFO) |
Mailing Address: | 55 Mohawk Street Cohoes |
State: | NY US |
Postal Code: | 120472600 |
Phone Number: | 5185255062 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 0101004H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |