Organization
GARNERVILLE PEDIATRICS
Active
Parent organization
NYACK PEDIATRIC ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
NYACK PEDIATRIC ASSOCIATES
Authorized official
DR. MAUREEN F COONEY D.O. (OWNER)
(845) 271-4794
Entity
Organization
Contact information
Practice address
124 RAMAPO RD, GARNERVILLE, NY 10923-1571
(845) 271-4794
(845) 271-4795
Mailing address
124 RAMAPO RD, GARNERVILLE, NY 10923-1571
(845) 271-4794
(845) 271-4795
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
193032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01827421
—
NY
Enumeration date
06/25/2009
Last updated
06/25/2009
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