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

St Peter's Hospital of the City of Albany

Organization Family Medicine Physician · NPI 1194943670

St Peter's Hospital of the City of Albany is a Family Medicine Physician in Latham, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
9
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Practice location Address checks out

636 New Loudon Rd
Latham, NY 12110-4002
Phone: (518) 783-5381
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 0101004H (NY)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
General Acute Care Hospital Taxonomy 282N00000X · Licence 0101004H (NY)
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1194943670
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Peter's Hospital of the City of Albany
Authorized official Courtney Knowles — Credentialing & Enrollment Manager · (518) 525-5634
Other names St. Peter'S Addiction Recovery Center
NPI enumeratedApril 23, 2007
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing addressPo Box 14890, Albany, NY 12212-4890

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