1881997104 NPI number — ST. PETER'S HOSPITAL

Table of content: (NPI 1881997104)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881997104 NPI number — ST. PETER'S HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. PETER'S HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ST. PETER'S HOSPITAL BREAST SURGERY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881997104
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
317 S MANNING BLVD
Provider Second Line Business Mailing Address:
SUITE 250
Provider Business Mailing Address City Name:
ALBANY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12208-1739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-525-5215
Provider Business Mailing Address Fax Number:
518-525-5505

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
317 S MANNING BLVD
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12208-1739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-525-5215
Provider Business Practice Location Address Fax Number:
518-525-5505
Provider Enumeration Date:
12/08/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BIGNESS
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERVISOR PHYSICIANS BILLING
Authorized Official Telephone Number:
518-275-4090

Provider Taxonomy Codes

  • Taxonomy code: 2086X0206X , with the licence number:  259133 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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