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

Samaritan Hospital of Troy, New York

Organization Nutritionist · NPI 1790120368

Samaritan Hospital of Troy, New York is a Nutritionist in Waterford, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
9

Practice location Address checks out

158 Saratoga Ave
Waterford, NY 12188-2205
Phone: (518) 233-1162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X
Nutritionist Taxonomy 133N00000X
Registered Dietitian Taxonomy 133V00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
General Acute Care Hospital Taxonomy 282N00000X · Licence 4102002H (NY)
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1790120368
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSamaritan Hospital of Troy, New York
Authorized official Courtney Knowles — Credentialing Manager · (518) 525-5634
Other names Capital Region Diabetes & Endocrine Care
NPI enumeratedMay 8, 2013
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing addressPo Box 14890, Albany, NY 12212-4890