Organization
CRITICAL CARE PHYSICIAN OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FALL (MANAGER)
(253) 682-6040
Entity
Organization
Contact information
Practice address
70 DUBOIS ST FL 2, NEWBURGH, NY 12550-4851
(845) 561-4400
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
03/07/2025
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