Organization · Type 2 NPI

St. Peter's Health Partners Medical Associates, P.c.

Multi-Specialty Clinic/Center · Malta, NY

NPI number 1144993866 Active

Practice location

2537 Route 9 Suite 203, Malta Family Practice
Malta, NY 12020

Call (518) 525-5555 Map

Mailing address

PO Box 14890
Albany, NY 12212-4890

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed

Multi-Specialty Clinic/Center: Definition to come...

NPI record

NPI: 1144993866
Entity type: Organization (Type 2)
Issued: Jul 28, 2021
Last updated: Jul 28, 2021
Status: Active
Subpart: Yes of St. Peter's Health Partners Medical Associates, P.c.

Other names

Malta Family Practice · other name

Authorized official

Courtney Knowles
Credentialing Manager
(518) 525-5634

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144993866

St. Peter's Health Partners Medical Associates, P.c.'s National Provider Identifier is 1144993866, issued on Jul 28, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Malta, NY. The record was last updated on Jul 28, 2021.