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Organization
TRI STATE EYE OPHTHALMOLOGY OF MIDDLETOWN PC
Active
Organization
TRI STATE EYE OPHTHALMOLOGY OF MIDDLETOWN PC
Active
Other names
Tri State Eye Ophthalmology of Middletown PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEVERIN BOHDAN PALYDOWYCZ MD (OWNER)
(570) 296-9696
Entity
Organization
Contact information
Practice address
75 CRYSTAL RUN RD, SUITE 120, MIDDLETOWN, NY 10941-7000
(845) 703-2020
(845) 703-2901
Mailing address
75 CRYSTAL RUN RD, SUITE 120, MIDDLETOWN, NY 10941-7000
(845) 703-2020
(845) 703-2901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD049303L
NY
Other
Enumeration date
03/28/2007
Last updated
01/30/2015
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