Organization
DUTCHESS AMBULATORY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MCCLOSKEY (BUSINESS MANAGER)
(845) 473-6144
Entity
Organization
Contact information
Practice address
325 FOUNDERS WAY, POUGHKEEPSIE, NY 12603-2516
(845) 473-6144
(845) 473-5601
Mailing address
325 FOUNDERS WAY, POUGHKEEPSIE, NY 12603-2516
(845) 473-6144
(845) 473-5601
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1302208R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003631
EMPIRE BCBS
—
05
—
01902698
—
NY
01
—
10035585
CDPHP
—
01
—
2042937
AETNA
—
01
—
317513
MVP
NY
01
—
A1314785
OXFORD
—
01
—
IC7999
HEALTHNET
—
Enumeration date
06/23/2006
Last updated
03/29/2024
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