Organization · Type 2 NPI

Samaritan Hospital of Troy, New York

Family Medicine Physician · Stillwater, NY

NPI number 1912480971 Active

Practice location

1111 Hudson Avenue
Stillwater, NY 12170-3439

Call (518) 664-3242 Map

Mailing address

PO Box 14890
Albany, NY 12212-4890

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
General Acute Care Hospital	282N00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NPI record

NPI: 1912480971
Entity type: Organization (Type 2)
Issued: Sep 14, 2018
Last updated: Mar 7, 2022
Status: Active
Subpart: Yes of Samaritan Hospital of Troy, New York

Other names

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Stillwater Family Health Center · 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 1912480971

Samaritan Hospital of Troy, New York's National Provider Identifier is 1912480971, issued on Sep 14, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Stillwater, NY. The record was last updated on Mar 7, 2022.