# GARNERVILLE PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NYACK PEDIATRIC ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619105954
- **Legal business name:** NYACK PEDIATRIC ASSOCIATES
- **Authorized official:** DR. MAUREEN F COONEY D.O. (OWNER)
- **Authorized official phone:** (845) 271-4794

## Contact information

- **Practice address:** 124 RAMAPO RD, GARNERVILLE, NY 10923-1571
- **Practice address phone:** (845) 271-4794
- **Practice address fax:** (845) 271-4795
- **Mailing address:** 124 RAMAPO RD, GARNERVILLE, NY 10923-1571
- **Mailing address phone:** (845) 271-4794
- **Mailing address fax:** (845) 271-4795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 193032 | NY | Yes |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 06/25/2009