Organization
HEALTH QUEST MEDICAL PRACTICE, PC
Active
Other names
HQMP NMG Mahopac Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN LOOMIS (CREDENTIALING)
(845) 475-9661
Entity
Organization
Contact information
Practice address
888 ROUTE 6, MAHOPAC, NY 10541-6201
(845) 628-1492
(914) 352-6160
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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