Organization
SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J RYAN (DIRECTOR OF FINANCE)
(518) 275-4258
Entity
Organization
Contact information
Practice address
1 ABELE DR, CLIFTON PARK, NY 12065-2951
(518) 371-1400
(518) 371-1240
Mailing address
1 ABELE DR, CLIFTON PARK, NY 12065-2951
(518) 371-1400
(518) 371-1240
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4552300N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01470539
—
NY
05
—
02994094
—
NY
01
—
33-5774
MEDICARE A PROVIDER NUMBER
—
01
—
J100000128
MEDICARE B
—
Enumeration date
11/30/2006
Last updated
07/12/2013
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