Organization
HILLSIDE HEALTH CARE R.N., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA JOYCE ARDREY R.N. (PRESIDENT)
(845) 440-3940
Entity
Organization
Contact information
Practice address
260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
(845) 440-3940
Mailing address
260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
(845) 440-3940
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
443900-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01457478
MEDICAID PROVIDER ID
NY
Enumeration date
12/15/2006
Last updated
08/19/2008
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