| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 150 Route 52, Carmel, New York |
| Authorized Official Name and Position | Karen Darcy (VP FINANCE) |
| Authorized Official Contact | 2037394593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1351 Routre 55 Suite 200 Lagrangeville NY 12540 Ph: (845) 475-9661 | 150 Route 52 Carmel NY 10512-1200 Ph: (845) 228-2910 |
| NPI Number | 1104344340 |
|---|---|
| Provider Enumeration Date | 09/08/2017 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104344340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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