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Organization
VILLAGE MEDICAL PLLC
Active
Organization
VILLAGE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICE T PASSIDOMO MD (OWNER)
(845) 855-0084
Entity
Organization
Contact information
Practice address
7 CHAPIN LANE, PAWLING, NY 12564
(845) 855-0084
(845) 855-1897
Mailing address
7 CHAPIN LANE, PAWLING, NY 12564
(845) 855-0084
(845) 855-1897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
175691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01256197
—
NY
Enumeration date
12/27/2006
Last updated
02/25/2008
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