Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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 provides Family Medicine Physician services 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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