Organization
HEALTH QUEST MEDICAL PRACTICE
Active
Other names
KINGSTON NEURO. BROADWAY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD TATELBAUM MD (PRESIDENT)
(845) 475-9635
Entity
Organization
Contact information
Practice address
365 BROADWAY, KINGSTON, NY 12401-5151
(845) 331-5165
(845) 331-6238
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9635
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
08/08/2014
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