# NYSARC INC PUTNAM COUNTY CHAPTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUTNAM COUNTY CHAPTER NYSARC, INC
- **Other names:** PARC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316983430
- **Legal business name:** PUTNAM COUNTY CHAPTER NYSARC, INC
- **Authorized official:** DR. NANCY ELLEN DIB (CHIEF CLINICAL OFFICER)
- **Authorized official phone:** (845) 338-1234

## Contact information

- **Practice address:** 1938 RT. 6, PARC CENTER, CARMEL, NY 10512
- **Practice address phone:** (845) 225-5650
- **Practice address fax:** (845) 228-0758
- **Mailing address:** 575 DREWVILLE RD, CARMEL, NY 10512-3736
- **Mailing address phone:** (845) 225-5650
- **Mailing address fax:** (845) 225-0758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 7024300 | NY | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 05/02/2019