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NPI Code Detail

MEDICARE: SETON HEALTH SYSTEM, INC

MEDICARE: SETON HEALTH SYSTEM, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207RP1001XPulmonary Disease Physician
4207V00000XObstetrics & Gynecology Physician
5208000000XPediatrics Physician
62084N0400XNeurology Physician
72084P0800XPsychiatry Physician
8261QU0200XUrgent Care Clinic/Center4102003HNY
9276400000XSubstance Use Disorder Rehabilitation Hospital Unit4102003HNY
10282N00000XGeneral Acute Care Hospital4102003HNY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2330232OTHERNYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811982911
Entity Type Code : Organization
Provider Name (Legal Business Name) : SETON HEALTH SYSTEM, INC
Provider Business Mailing Address
First Line : 315 SO MANNING BLVD. 3 CUSACK, ROOM 3521
Second Line : ST. PETER'S HOSPITAL
City : ALBANY
State : NY
Zip : 12208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 MASSACHUSETTS AVE
Second Line :
City : TROY
State : NY
Zip : 12180-1628
Country : US
Telephone Number : 518-268-5000
Fax Number : 518-235-7626
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : COURTNEY KNOWLES
Credential :
Telephone Number : 518-525-5634
Provider Enumeration Date : 09/14/2005
Last Update Date : 11/22/2019

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Directions to “SETON HEALTH SYSTEM, INC ” Practice Location

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