Organization
TRUSTEES OF COLUMBIA UNIVERSITY COLUMBIADOCTORS OF THE HUDSON VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MCDOUGLE (SVP/CHIEF OPERATING OFFICER)
(212) 305-6607
Entity
Organization
Contact information
Practice address
222 ROUTE 59 STE 302, SUFFERN, NY 10901-5208
(845) 368-0100
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 342-5155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
10/10/2011
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