Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Other names
Neurosurgery and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ELLSWORTH (OPERATIONS MANAGER)
(518) 828-8067
Entity
Organization
Contact information
Practice address
159 JEFFERSON HTS, SUITE D-107, CATSKILL, NY 12414-1237
(518) 697-6000
(518) 697-5345
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
(518) 697-3117
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1001000H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03227290
—
NY
Enumeration date
11/19/2015
Last updated
04/18/2019
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