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Organization
HILLSIDE HEALTH CARE R.N., P.C.
Active
Organization
HILLSIDE HEALTH CARE R.N., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA JOYCE ARDREY R.N. (PRESIDENT)
(845) 440-3940
Entity
Organization
Contact information
Practice address
260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
(845) 440-3940
Mailing address
260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
(845) 440-3940
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
443900-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01457478
MEDICAID PROVIDER ID
NY
Enumeration date
12/15/2006
Last updated
08/19/2008
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