Organization
THE BEN GILMAN MEDICAL CENTER
Active
Parent organization
COMMUNITY MEDICAL AND DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL AND DENTAL CARE
Authorized official
MR. MICHAEL KAVANAGH (BUSINESS MANAGER)
(845) 352-6800
Entity
Organization
Contact information
Practice address
175 ROUTE 59, SPRING VALLEY, NY 10977-5231
(845) 352-6800
Mailing address
175 ROUTE 59, SPRING VALLEY, NY 10977-5231
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01432975
—
NY
Enumeration date
10/04/2010
Last updated
10/04/2010
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