Organization
MID-HUDSON FORENSIC PSYCHIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE BERENSON (CHIEF OF PSYCHIATRY)
(845) 374-8700
Entity
Organization
Contact information
Practice address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 597-5987
Mailing address
2834 ROUTE 17M, NEW HAMPTON, NY 10958-5011
(845) 597-5987
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
307907
NY
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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