Organization
RIVERVIEW PSYCHIATRIC MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY IAN PARDELL M.D. (PRESIDENT/DIRECTOR)
(845) 471-1807
Entity
Organization
Contact information
Practice address
370 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 471-1807
(845) 471-1815
Mailing address
370 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 471-1807
(845) 471-1815
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
166228
NY
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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