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Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Active
Organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Active
Parent organization
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Other names
Phelps Medical Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHELPS MEMORIAL HOSPITAL ASSOCIATION
Authorized official
MR. CHARLES RYKE (DIRECTOR OF PROFESSIONAL BILLING)
(914) 269-1763
Entity
Organization
Contact information
Practice address
155 WHITE PLAINS RD, 210A, TARRYTOWN, NY 10591-5523
(914) 269-1763
Mailing address
155 WHITE PLAINS RD, 210A, TARRYTOWN, NY 10591-5523
(914) 269-1763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
093343-1
NY
207R00000X
Internal Medicine Physician
Primary
155904-1
NY
207RN0300X
Nephrology Physician
106477
NY
207RP1001X
Pulmonary Disease Physician
135197-1
NY
Other
Enumeration date
06/26/2008
Last updated
07/20/2012
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