Dutchess Neurology, Pllc | |
69 W Cedar St Poughkeepsie NY 12601-1351 | |
(845) 454-6243 | |
(845) 454-6491 |
Full Name | Dutchess Neurology, Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 69 W Cedar St, Poughkeepsie, New York |
Authorized Official Name and Position | Loren E Rosenthal (MEDICAL DIRECTOR) |
Authorized Official Contact | 8454546243 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dutchess Neurology, Pllc 69 W Cedar St Poughkeepsie NY 12601-1351 Ph: (845) 454-6243 | Dutchess Neurology, Pllc 69 W Cedar St Poughkeepsie NY 12601-1351 Ph: (845) 454-6243 |
NPI Number | 1871634246 |
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Provider Enumeration Date | 02/09/2007 |
Last Update Date | 12/14/2012 |
Medicare PECOS PAC ID | 7214977891 |
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Medicare Enrollment ID | O20050504000120 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871634246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 112634 (New York) | Primary |
Provider Name | Loren E Rosenthal |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942216437 PECOS PAC ID: 3173563657 Enrollment ID: I20050510000286 |
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