Organization · Type 2 NPI

St. Peter's Hospital of the City of Albany

Substance Use Disorder Rehabilitation Clinic/Center · Albany, NY

NPI number 1669698601 Active

Practice location

64 2nd Avenue
Albany, NY 12202-1240

Call (518) 449-5170 Map

Mailing address

PO Box 14890
Albany, NY 12212-4890

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Addiction Medicine (Family Medicine) Physician	207QA0401X	None listed
Internal Medicine Physician	207R00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	0101004H (NY)
General Acute Care Hospital	282N00000X	0101004H (NY)
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

Another provider at this address

Juan Jose SantacruzAddiction (Substance Use Disorder) Counselor Albany, NY NPI 1295091114

Other substance use disorder rehabilitation clinic/center providers in Albany

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NPI record

NPI: 1669698601
Entity type: Organization (Type 2)
Issued: Apr 18, 2007
Last updated: Jul 14, 2023
Status: Active
Subpart: Yes of St. Peter's Hospital of the City of Albany

Other names

<unavail>
St. Peter's Addiction Recovery Center · other name

Authorized official

Courtney Knowles
Credentialing & Enrollment 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 1669698601

St. Peter's Hospital of the City of Albany's National Provider Identifier is 1669698601, issued on Apr 18, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Albany, NY. The record was last updated on Jul 14, 2023.