Organization
TIMBER RIDGE MEDICAL ASSOC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN PETRILAK (PRACTICE MANAGER)
(845) 703-8806
Entity
Organization
Contact information
Practice address
90 CRYSTAL RUN RD, 403, MIDDLETOWN, NY 10941-7101
(845) 703-8806
(845) 703-9058
Mailing address
90 CRYSTAL RUN RD, 403, MIDDLETOWN, NY 10941-7101
(845) 703-8806
(845) 703-9058
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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