Organization
EJ NOBLE MEDICAL PROFESSIONAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ROGERS (PT ACCTING SUPERVISOR)
(315) 287-1000
Entity
Organization
Contact information
Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
(315) 535-9207
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
(315) 535-9207
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
11/08/2006
Last updated
08/06/2009
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