Individual
DOUGLAS MAILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HUDSON VALLEY HOSPITAL CENTER (EMERGENCY DEPARTMENT), 1980 CROMPOND ROAD, CORTLANDT MANOR, NY 10567
(914) 737-9000
Mailing address
PO BOX 718, LIVINGSTON, NJ 07039-0718
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17886
NH
207P00000X
Emergency Medicine Physician
Primary
189936-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3108979
—
NH
Enumeration date
06/13/2006
Last updated
05/21/2020
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