Organization · Type 2 NPI

State of New York

Specialist · West Haverstraw, NY

NPI number 1508987348 Active

Practice location

51- 55 North Route 9W
West Haverstraw, NY 10993-1195

Fax (845) 947-0036

Mailing address

51-55 North Route 9W
West Haverstraw, NY 10993-1195

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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About NPI 1508987348

State of New York's National Provider Identifier is 1508987348, issued on Apr 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Haverstraw, NY. The record was last updated on Aug 22, 2020.