Organization · Type 2 NPI

Samaritan Hospital of Troy, New York

Family Medicine Physician · Waterford, NY

NPI number 1962759944 Active

Practice location

158 Saratoga Ave
Waterford, NY 12188-2205

Call (518) 233-1162 Map

Fax (518) 233-0903

Mailing address

PO Box 14890
Albany, NY 12212-4890

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	4101002H (NY)
Internal Medicine Physician	207R00000X	4101002H (NY)
Multi-Specialty Clinic/Center	261QM1300X	None listed
General Acute Care Hospital	282N00000X	4101002H (NY)
Physician Assistant	363A00000X	4101002H (NY)
Nurse Practitioner	363L00000X	4101002H (NY)

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.

3 other providers at this address

NPI record

NPI: 1962759944
Entity type: Organization (Type 2)
Issued: Aug 9, 2012
Last updated: Oct 11, 2021
Status: Active
Subpart: Yes of Samaritan Hospital of Troy, New York

Other names

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Waterford 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 1962759944

Samaritan Hospital of Troy, New York's National Provider Identifier is 1962759944, issued on Aug 9, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waterford, NY. The record was last updated on Oct 11, 2021.