211 Medical PC
Surgery in Middletown, NY. Organization (NPI-2).
NPI number1811236680
StatusActive
Last updated in NPPESAug 13, 2013
Details
- NPI
- 1811236680
- Entity type
- Organization (NPI-2)
- Legal business name
- 211 Medical PC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2013
- Last updated
- Aug 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 204350 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 204350 | NY | |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 204350 | NY |
Practice location
453 Route 211 EMiddletown, NY 10940-2206
Phone 845-344-4040
Mailing address
453 Route 211 EMiddletown, NY 10940-2206
Phone 845-344-4040
Authorized official
David Sammett
Owner
8453444040
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