Organization
ERH SPECIALTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN KELLEY (CEO)
(845) 647-6400
Entity
Organization
Contact information
Practice address
ROUTE 209, ELLENVILLE REGIONAL HOSPITAL, ELLENVILLE, NY 12428
(845) 647-6400
Mailing address
PO BOX 2038, NEW CITY, NY 10956
(845) 638-9079
(845) 638-9079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02281170
—
NY
Enumeration date
04/28/2006
Last updated
11/24/2007
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