Individual
ERIN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
606 THAYER RD, WEST POINT, NY 10996-1700
(845) 938-2393
Mailing address
3 COL CONKLIN DR, STONY POINT, NY 10980-3640
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
003689-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26367
HEALTHCARE PROVIDER
—
Enumeration date
03/20/2020
Last updated
03/20/2020
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