Organization
COLUMBIA MEMORIAL HOSPITAL
Active
Other names
Medical Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT J DINGMAN III (CFO)
(518) 828-8249
Entity
Organization
Contact information
Practice address
71 PROSPECT AVE, SUITE L30, HUDSON, NY 12534-2907
(518) 828-8025
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
(518) 697-3117
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
1001000H
NY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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