Middletown Community Health Center INC

NPI #1609055409 in Port Jervis, New York

Provider Information

NPI Number: 1609055409
Entity Type: Organization
Organization Name: Middletown Community Health Center INC
Primary Specialty: Dentist
Enumeration Date: Oct 29, 2007
Last Updated: Apr 1, 2011

Practice Location

Address: 140 HAMMOND STREET
City: Port Jervis
State: New York
ZIP Code: 12771-2607
Phone: (845) 856-8450

Authorized Official

Name: MRS. THERESA MALONEY
Title: CEO
Phone: (845) 343-7614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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