Prime Columbia Greene Medical Associates, Pc

NPI 1093771677 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1093771677
Enumeration Date 04/24/2006
Last Updated 11/04/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CLARENCE B CLARENCE
Position PRESIDENT
Phone (518) 828-7188
Fax (518) 828-5049
Practice Location
949 COLUMBIA ST
HUDSON NY, 12534-2624, US
Phone (518) 828-7188
Fax (518) 828-5049
Business Location
949 COLUMBIA ST
HUDSON NY, 12534-2624, US
Phone (518) 828-7188
Fax (518) 828-5049
Toxanomy
Taxonomy Code 208100000X
License State New York
License Number 123180
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According to our database, Prime Columbia Greene Medical Associates, Pc NPI is 1093771677, taxonomy code is 208100000X and license number is 123180, license state is located at New York. Prime Columbia Greene Medical Associates, Pc physically located at 949 Columbia St, Hudson NY, 12534-2624. NPI Number 1033115704 has the healthcare provider type.

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1093771677 NPI number is provided on an as is basis without warranty of any kind. 1093771677 is maintained by the National Plan & Provider Enumeration System. The contents of Prime Columbia Greene Medical Associates, Pc are for informational purposes only.