Idp Middletown
NPI #1013310465 in Middletown, New York
Provider Information
- NPI Number
- 1013310465
- Entity Type
- Organization
- Organization Name
- Idp Middletown
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Sep 30, 2014
Practice Location
- Address
- 123 ACADEMY AVE
- City
- Middletown
- State
- New York
- ZIP Code
- 10940-5211
- Phone
- (845) 342-4668
Authorized Official
- Name
- CAROLYN REIDY
- Title
- OFFICE MANAGER
- Phone
- (845) 342-4668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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