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Individual

GREGORY E. MADDALENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6 HENRY ST, HUDSON RIVER HEALTHCARE, INC., BEACON, NY 12508-3058
(845) 831-0400
(845) 831-0793
Mailing address
1037 MAIN ST, HUDSON RIVER HEALTHCARE, INC., PEEKSKILL, NY 10566-2913
(845) 838-7020
(845) 838-6105

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052146-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03350727
NY
Enumeration date
07/18/2007
Last updated
01/16/2014
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