Organization
MOHAWK MONTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDIE J ZAJACESKOWSKI (CHAIRMAN/DIRECTOR)
(518) 842-6701
Entity
Organization
Contact information
Practice address
10 CHURCH STREET #365, AMSTERDAM, NY 12010-0365
(518) 842-2990
Mailing address
PO BOX 365, AMSTERDAM, NY 12010-0365
(518) 842-2990
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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