# CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194090878
- **Authorized official:** LAURIE LADUCA (CREDENTIALING MANAGER)
- **Authorized official phone:** (845) 702-2711

## Contact information

- **Practice address:** 701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
- **Practice address phone:** (914) 366-3000
- **Mailing address:** PO BOX 631798, CINCINNATI, OH 45263-1798
- **Mailing address phone:** (845) 702-2711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 03/14/2012
- **Last updated:** 02/19/2025