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Organization

SETON HEALTH SYSTEM

Active
Parent organization
SETON HEALTH SYSTEM
Other names
Samartian OBGYN
Organization subpart
Yes

Provider details

NPI number
Legal business name
SETON HEALTH SYSTEM
Authorized official
DANIEL KOCHIE (CFO)
(518) 268-5000
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
10/07/2016
Last updated
10/07/2016
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