Organization
PEDIATRIC ASSOCIATES OF PUTNAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE BENNIE (MEDICAL BILLER)
(845) 279-9652
Entity
Organization
Contact information
Practice address
667 STONELEIGH AVE, SUITE 116, CARMEL, NY 10512-2454
(845) 279-9652
(845) 279-3606
Mailing address
667 STONELEIGH AVE, SUITE 116, CARMEL, NY 10512-2454
(845) 279-9652
(845) 279-3606
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
111285
NY
Other
Enumeration date
03/14/2007
Last updated
11/03/2008
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