Enhanced Medical Care PC

NPI #1699063073 in Liberty, New York

Provider Information

NPI Number: 1699063073
Entity Type: Organization
Organization Name: Enhanced Medical Care PC
Primary Specialty: Legal Medicine
Enumeration Date: Jul 19, 2011
Last Updated: Jul 19, 2011

Practice Location

Address: 170 LAKE ST
City: Liberty
State: New York
ZIP Code: 12754-1966
Phone: (845) 826-0060

Authorized Official

Name: DAVID HALDORSEN, MD
Title: OWNER
Phone: (845) 826-0060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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