Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICENT J DINGMAN III (CHIEF FINANCIAL OFFICER)
(518) 828-8249
Entity
Organization
Contact information
Practice address
71 PROSPECT AVENUE, DENTAL PROGRAM, HUDSON, NY 12534
(518) 669-7892
(518) 669-7893
Mailing address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 669-7892
(518) 669-7893
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1001000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00335915
—
NY
Enumeration date
11/24/2009
Last updated
11/24/2009
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