Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Other names
Neurosurgery and Spine, The Spine Institute of Columbia Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ELLSWORTH (OPERATIONS MANAGER)
(518) 828-8067
Entity
Organization
Contact information
Practice address
71 PROSPECT AVE, SUITE L40, HUDSON, NY 12534-2907
(518) 697-6000
(518) 697-5345
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
(518) 697-3117
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1001000H
NY
Other
Enumeration date
01/23/2013
Last updated
04/18/2019
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