Organization
NYSARC INC PUTNAM COUNTY CHAPTER
Active
Parent organization
PUTNAM COUNTY CHAPTER NYSARC, INC
Other names
PARC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUTNAM COUNTY CHAPTER NYSARC, INC
Authorized official
DR. NANCY ELLEN DIB (CHIEF CLINICAL OFFICER)
(845) 338-1234
Entity
Organization
Contact information
Practice address
1938 RT. 6, PARC CENTER, CARMEL, NY 10512
(845) 225-5650
(845) 228-0758
Mailing address
575 DREWVILLE RD, CARMEL, NY 10512-3736
(845) 225-5650
(845) 225-0758
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
7024300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02698199
—
NY
Enumeration date
06/20/2006
Last updated
05/02/2019
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