Organization
CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE LADUCA (CREDENTIALING MANAGER)
(845) 702-2711
Entity
Organization
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
Mailing address
PO BOX 631798, CINCINNATI, OH 45263-1798
(845) 702-2711
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/14/2012
Last updated
02/19/2025
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