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Organization

CATSKILL MOBILE MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHAYA R LEVINE NP-C (FAMILY NURSE PRACTITIONER)
(845) 428-1700
Entity
Organization

Contact information

Practice address
330 LAUREL AVE, FALLSBURG, NY 12733
(845) 428-1700
(877) 647-4509
Mailing address
PO BOX 113, 330 LAUREL AVE, FALLSBURG, NY 12733
(845) 428-1700
(877) 647-4509

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336123
NY

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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