Organization
MIDDLETOWN COMMUNITY HEALTH CENTER INC
Active
Other names
United Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MALONEY (CEO)
(845) 343-7614
Entity
Organization
Contact information
Practice address
140 HAMMOND STREET, PORT JERVIS, NY 12771-2607
(845) 856-8450
(845) 343-5390
Mailing address
PO BOX 987, 21 ORCHARD STREET, MIDDLETOWN, NY 10940
(845) 856-8450
(845) 343-5390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
Enumeration date
10/29/2007
Last updated
04/01/2011
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