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Organization
CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC
Active
Organization
CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE LADUCA (CREDENTIALING MANAGER)
(845) 702-2711
Entity
Organization
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
Mailing address
PO BOX 631798, CINCINNATI, OH 45263-1798
(845) 702-2711
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/14/2012
Last updated
02/19/2025
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