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 Family Medicine Physician · NPI 1962759944

Samaritan Hospital of Troy, New York is a Family Medicine Physician in Waterford, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
6

Practice location Address checks out

158 Saratoga Ave
Waterford, NY 12188-2205
Phone: (518) 233-1162
Fax: (518) 233-0903
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4101002H (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4101002H (NY)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
General Acute Care Hospital Taxonomy 282N00000X · Licence 4101002H (NY)
Physician Assistant Taxonomy 363A00000X · Licence 4101002H (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 4101002H (NY)

Record details

NPI number1962759944
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSamaritan Hospital of Troy, New York
Authorized official Courtney Knowles — Credentialing Manager · (518) 525-5634
Other names Waterford Health Center
NPI enumeratedAugust 9, 2012
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021
Mailing addressPo Box 14890, Albany, NY 12212-4890

Other providers in Waterford