| St. Peter's Center For Ms And Headache Care | |
|
63 Shaker Rd Ste G01 Albany NY 12204-1030 | |
| (518) 429-2561 | |
| Not Available |
| Full Name | St. Peter's Center For Ms And Headache Care |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 63 Shaker Rd Ste G01, Albany, New York |
| Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5185255634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Peter's Center For Ms And Headache Care Po Box 14890 Albany NY 12212-4890 Ph: (518) 525-5634 | St. Peter's Center For Ms And Headache Care 63 Shaker Rd Ste G01 Albany NY 12204-1030 Ph: (518) 429-2561 |
| NPI Number | 1497178099 |
|---|---|
| Provider Enumeration Date | 02/03/2014 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497178099 | NPI | - | NPPES |
| 03539695 | Medicaid | NY |
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