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283 Mountain View Rd Copake NY 12516-1201 | |
(518) 329-3900 | |
(518) 329-1040 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 283 Mountain View Rd, Copake, New York |
Authorized Official Name and Position | Bryan Mahoney (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5188288249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2000 Hudson NY 12534-2000 Ph: (518) 828-8051 | 283 Mountain View Rd Copake NY 12516-1201 Ph: (518) 329-3900 |
NPI Number | 1720333479 |
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Provider Enumeration Date | 07/18/2012 |
Last Update Date | 05/04/2016 |
Identifier | Type | State | Issuer |
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1720333479 | NPI | - | NPPES |
W79533 | Other | NY | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 1001000H (New York) | Primary |