# MONTE MARDER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780868489
- **Authorized official:** MONTE MARDER MD (PRESIDENT)
- **Authorized official phone:** (845) 677-6767

## Contact information

- **Practice address:** 3712 ROUTE 44, MILLBROOK, NY 12545
- **Practice address phone:** (845) 677-6767
- **Practice address fax:** (845) 677-8728
- **Mailing address:** PO BOX 167, MILLBROOK, NY 12545-0167
- **Mailing address phone:** (845) 677-6767
- **Mailing address fax:** (845) 677-8728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 164030 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/18/2007