Organization
HOSPITALIST EMO OF NY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND IANNACCONE M.D. (INTERIM PRESIDENT / CEO)
(973) 740-0706
Entity
Organization
Contact information
Practice address
160 N MIDLAND AVE, NYACK HOSPITAL, NYACK, NY 10960-1912
(845) 348-2000
Mailing address
PO BOX 597, LIVINGSTON, NJ 07039-0597
(973) 740-9396
(973) 740-9895
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673536
—
NY
Enumeration date
06/12/2006
Last updated
01/09/2008
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