Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samaritan Hospital of Troy, New York

Organization Family Medicine Physician · NPI 1639653694

Samaritan Hospital of Troy, New York is a Family Medicine Physician in Troy, New York. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
6
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Practice location Address checks out

1300 Massachusetts Avenue Troy Pediatric Health Ctr
Troy, NY 12180-1628
Phone: (518) 272-7614
Fax: (518) 272-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2215 Burdett Avenue 2nd Floor, Troy, NY 12180-2466 — (518) 272-7614

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1639653694
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSamaritan Hospital of Troy, New York
Authorized official Courtney Knowles — Credentialing Manager · (518) 525-5634
Other names St. Peter'S Pediatrics At Burdett Birth Center; Troy Pediatric Health Center
NPI enumeratedSeptember 17, 2018
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022
Mailing addressPo Box 14890, Albany, NY 12212-4890

Other providers in Troy