Organization
MEDICAL SERVICES OF MANHASSET, PC
Active
Organization
MEDICAL SERVICES OF MANHASSET, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS PUDER MD (ADMINISTRATOR)
(845) 623-7100
Entity
Organization
Contact information
Practice address
25 SMITH ST STE 210, NANUET, NY 10954-2971
(845) 623-7100
(845) 732-8440
Mailing address
25 SMITH ST STE 210, NANUET, NY 10954-2971
(845) 623-7100
(845) 732-8440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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