# SETON HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SETON HEALTH SYSTEM
- **Other names:** Samartian OBGYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811447493
- **Legal business name:** SETON HEALTH SYSTEM
- **Authorized official:** DANIEL KOCHIE (CFO)
- **Authorized official phone:** (518) 268-5000

## Contact information

- **Practice address:** 713 TROY SCHENECTADY RD, SUITE 304, LATHAM, NY 12110-2490
- **Practice address phone:** (518) 375-4555
- **Practice address fax:** (518) 286-4911
- **Mailing address:** PO BOX 14890, SPHP PAYER CREDENTIALING, ALBANY, NY 12212-4890
- **Mailing address phone:** (518) 591-1121
- **Mailing address fax:** (518) 649-4094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2016
- **Last updated:** 10/07/2016