Organization
ELIZABETHTOWN COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DOHERTY PT (DIRECTOR)
(518) 873-2408
Entity
Organization
Contact information
Practice address
66 PARK STREET, SUITE 100, ELIZABETHTOWN, NY 12832-0000
(518) 873-2408
Mailing address
PO BOX 277, ELIZABETHTOWN, NY 12932-0277
(518) 873-2408
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
032723-1
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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