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Organization

ST. JOHN'S RIVERSIDE HOSPITAL-PATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SILVIA UGALDE (ASSISTANT VICE PRESIDENT)
(914) 964-9787
Entity
Organization

Contact information

Practice address
967 N BROADWAY, YONKERS, NY 10701-1301
(914) 966-9787
(914) 966-9793
Mailing address
PO BOX 998, ATTN: RIVERSIDE MANAGEMENT SERVICES ORG, YONKERS, NY 10703-0998
(914) 966-9787
(914) 966-9793

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary

Other

Enumeration date
07/03/2006
Last updated
10/22/2007
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