Organization
SETON HEALTH SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY KNOWLES (CREDENTIALING MANAGER)
(518) 525-5634
Entity
Organization
Contact information
Practice address
1300 MASSACHUSETTS AVE, TROY, NY 12180-1628
(518) 268-5000
(518) 235-7626
Mailing address
315 SO MANNING BLVD. 3 CUSACK, ROOM 3521, ST. PETER'S HOSPITAL, ALBANY, NY 12208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QU0200X
Urgent Care Clinic/Center
4102003H
NY
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
4102003H
NY
282N00000X
General Acute Care Hospital
Primary
4102003H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01534463
—
NY
01
—
330232
MEDICARE
NY
Enumeration date
09/14/2005
Last updated
11/22/2019
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