Basic Information
| Provider Information | |||||||||
| NPI: | 1275177321 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SARATOGA HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 211 CHURCH ST | ||||||||
| Address2: | |||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128661046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185873222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 959 STATE ROUTE 9 STE O | ||||||||
| Address2: | |||||||||
| City: | QUEENSBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128046290 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5182230155 | ||||||||
| FaxNumber: | 5182230195 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2019 | ||||||||
| LastUpdateDate: | 11/01/2019 | ||||||||
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| AuthorizedOfficialLastName: | RETZLAFF-SMITH | ||||||||
| AuthorizedOfficialFirstName: | LORI | ||||||||
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| AuthorizedOfficialTitleorPosition: | SYSTEMS ANALYST-PFS | ||||||||
| AuthorizedOfficialTelephone: | 5185838325 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.