Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Samaritan Hospital of Troy, New York

Organization Family Medicine Physician · NPI 1962759944

Samaritan Hospital of Troy, New York provides Family Medicine Physician services 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

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