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Organization

ST. ANTHONY COMMUNITY HOSPITAL

Active
Other names
SACH Professional
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NANCY VANDEMARK (ADMINISTRATIVE DIRECTOR)
(845) 987-3952
Entity
Organization

Contact information

Practice address
15 MAPLE AVE, WARWICK, NY 10990-1028
(845) 986-2276
Mailing address
20 GRAND ST, 3RD FLOOR, WARWICK, NY 10990-1035
(866) 474-3900
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
105585
NY

Other

Enumeration date
03/11/2011
Last updated
09/12/2017
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