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Organization
HEALTH QUEST MEDICAL PRACTICE, PC
Active
Organization
HEALTH QUEST MEDICAL PRACTICE, PC
Active
Other names
Modena PCP
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD TATELBAUM MD (PRESIDENT)
(845) 475-9635
Entity
Organization
Contact information
Practice address
2044 ROUTE 32, SUITE4, MODENA, NY 12548
(845) 883-5176
(845) 883-5177
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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