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Organization
COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC
Active
Organization
COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC
Active
Other names
CMH-Lafayette Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN T. MAHONEY (CHIEF FINANCIAL OFFICER)
(518) 828-8090
Entity
Organization
Contact information
Practice address
24 LAFAYETTE AVE, COXSACKIE, NY 12051-1305
(518) 731-7770
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/17/2021
Last updated
07/21/2021
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