State of New York
NPI #1508987348 in West Haverstraw, New York
Provider Information
- NPI Number
- 1508987348
- Entity Type
- Organization
- Organization Name
- State of New York
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 51- 55 NORTH ROUTE 9W
- City
- West Haverstraw
- State
- New York
- ZIP Code
- 10993-1195
- Phone
- (845) 786-4202
Authorized Official
- Name
- MS. MAGDALENA RAMIREZ
- Title
- CEO
- Phone
- (845) 786-4202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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