Tri State Eye Ophthalmology of Middletown PC

NPI #1053430256 in Middletown, New York

Provider Information

NPI Number: 1053430256
Entity Type: Organization
Organization Name: Tri State Eye Ophthalmology of Middletown PC
Primary Specialty: Specialist
Enumeration Date: Mar 28, 2007
Last Updated: Jan 30, 2015

Practice Location

Address: 75 CRYSTAL RUN RD
Address 2: SUITE 120
City: Middletown
State: New York
ZIP Code: 10941-7000
Phone: (845) 703-2020

Authorized Official

Name: MR. SEVERIN BOHDAN PALYDOWYCZ, MD
Title: OWNER
Phone: (570) 296-9696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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