Organization
COMMUNITY HOSPITALIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA S PINE (MD PRESIDENT)
(845) 342-7615
Entity
Organization
Contact information
Practice address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7000
Mailing address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
06/23/2009
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