Provider Demographics
NPI:1669570313
Name:ST. CLARE'S HOSPITAL OF SCHENECTADY NEW YORK
Entity type:Organization
Organization Name:ST. CLARE'S HOSPITAL OF SCHENECTADY NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPAROVIC
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:518-347-5660
Mailing Address - Street 1:624 MCCLELLAN ST
Mailing Address - Street 2:SUITE G06
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1020
Mailing Address - Country:US
Mailing Address - Phone:518-347-5537
Mailing Address - Fax:518-382-2295
Practice Address - Street 1:624 MCCLELLAN ST
Practice Address - Street 2:SUITE G06
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1020
Practice Address - Country:US
Practice Address - Phone:518-347-5537
Practice Address - Fax:518-382-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX I.D. NUMBER