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Organization
HEALTH QUEST MEDICAL QUEST, PC
Active
Organization
HEALTH QUEST MEDICAL QUEST, PC
Active
Other names
Department of Neuro. Interventional Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD TATELBAUM MD (PRESIDENT)
(845) 475-9635
Entity
Organization
Contact information
Practice address
21 READE PL, SUITE 3100, POUGHKEEPSIE, NY 12601-3912
(845) 214-1900
(845) 214-1919
Mailing address
1351 ROUTE 55, LAGRANGEVILLE, NY 12540-5108
(845) 475-9635
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
—
NULL
2085N0700X
Neuroradiology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
11/03/2014
Last updated
01/15/2015
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