Organization Name: | ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
NPI Number: | 1508247487 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL GORDON (CFO PHYSICIAN ENTERPRISES) |
Mailing Address: | 202 S Central Ave Mechanicville |
State: | NY US |
Postal Code: | 121183522 |
Phone Number: | 5186646125 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |