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Organization

COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC

Active
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Organization

COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC

Active
Other names
Tannersville 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
6171 ROUTE 23A, TANNERSVILLE, NY 12485
(518) 589-6843
(518) 589-6844
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 697-3258
(518) 828-8183

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL

Other

Enumeration date
02/15/2021
Last updated
07/21/2021
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