Organization
MOSES-LUDINGTON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE CARA MACKNESS P.T., D.P.T. (PHYSICAL THERAPIST)
(518) 585-3810
Entity
Organization
Contact information
Practice address
1019 WICKER ST, TICONDEROGA, NY 12883-1039
(518) 585-3810
Mailing address
1019 WICKER ST, TICONDEROGA, NY 12883-1039
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00360930
—
NY
Enumeration date
12/14/2006
Last updated
08/22/2020
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