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
1222 DEMONBREUN ST STE 1601, NASHVILLE, TN 37203-7092
(253) 682-6040
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/01/2012
Last updated
07/21/2026
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