Individual
DR. CLIFF P CONNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, DYSON CENTER, 3RD FL, POUGHKEEPSIE, NY 12601
(845) 483-6920
(845) 483-6922
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
164704
NY
2086S0102X
Surgical Critical Care Physician
164704
NY
2086X0206X
Surgical Oncology Physician
Primary
164704
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
164704
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
164704
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01170254
—
NY
05
—
011702T
—
NY
Enumeration date
11/03/2005
Last updated
10/15/2019
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