Columbia Memorial Hospital | |
71 Prospect Avenue Dental Program Hudson NY 12534 | |
(518) 669-7892 | |
(518) 669-7893 |
Full Name | Columbia Memorial Hospital |
---|---|
Speciality | Clinic/center - Dental |
Location | 71 Prospect Avenue, Hudson, New York |
Authorized Official Name and Position | Vicent J Dingman (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5188288249 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Columbia Memorial Hospital 71 Prospect Ave Hudson NY 12534-2907 Ph: (518) 669-7892 | Columbia Memorial Hospital 71 Prospect Avenue Dental Program Hudson NY 12534 Ph: (518) 669-7892 |
NPI Number | 1215265517 |
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Provider Enumeration Date | 11/24/2009 |
Last Update Date | 11/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215265517 | NPI | - | NPPES |
00335915 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 1001000H (New York) | Primary |
News Archive
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