Organization
SETON HEALTH SYSTEM
Active
Other names
St. Peter's Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SANTOS (CFO)
(518) 525-5537
Entity
Organization
Contact information
Practice address
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065-2807
(518) 688-0295
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/19/2015
Last updated
10/02/2017
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