Organization
ENHANCED MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HALDORSEN MD (OWNER)
(845) 826-0060
Entity
Organization
Contact information
Practice address
170 LAKE ST, LIBERTY, NY 12754-1966
(845) 826-0060
Mailing address
75 HERRICK AVE # 201, SPRING VALLEY, NY 10977-3818
(845) 826-0060
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
107113
NY
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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