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Organization

ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC

Active
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Organization

ROCKLAND ORTHOPEDICS AND SPORTS MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELYSIA M (RECEPTION/CREDENTIALING)
(845) 356-2900
Entity
Organization

Contact information

Practice address
327 ROUTE 59, COLONIAL SQUARE, AIRMONT, NY 10952-3420
(845) 356-2900
(845) 356-7797
Mailing address
327 ROUTE 59, COLONIAL SQUARE, AIRMONT, NY 10952-3420
(845) 356-2900
(845) 356-7797

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
086369
NY
174400000X
Specialist
160306
NY
174400000X
Specialist
179160
NY
174400000X
Specialist
187591
NY
174400000X
Specialist
202294
NY
174400000X
Specialist
Primary
213531
NY
174400000X
Specialist
235899
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0475172
AETNA HMO GROUP #
NY
01
8459449
AETNA PPO GROUP#
NY
01
CA9479
RAILROAD MEDICARE GROUP #
NY
Enumeration date
08/03/2006
Last updated
04/20/2008
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