Organization
ALICE HYDE MEDICAL CENTER
Active
Parent organization
ALICE HYDE MEDICAL CENTER
Other names
Alice Hyde Medical Practices
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALICE HYDE MEDICAL CENTER
Authorized official
MR. CHRIS HICKEY (CFO)
(518) 481-8067
Entity
Organization
Contact information
Practice address
133 PARK ST, MALONE, NY 12953-1243
(518) 481-2212
(518) 481-2662
Mailing address
133 PARK ST, MALONE, NY 12953-1244
(518) 483-3000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
02/21/2012
Last updated
02/17/2024
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