Organization
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS
Active
Parent organization
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS
Other names
Health Alliance Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS
Authorized official
MR. PATRICK BAKER (AVP, REVENUE CYCLE)
(914) 493-2846
Entity
Organization
Contact information
Practice address
37 ALBANY AVENUE, KINGSTON, NY 12401-2902
(845) 943-6023
(845) 943-6077
Mailing address
105 MARYS AVE, KINGSTON, NY 12401-5829
(845) 943-6023
(845) 943-6077
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274048
—
NY
05
—
03000204
—
NY
Enumeration date
05/17/2006
Last updated
04/09/2024
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