Organization
BELVEDERE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN BARNETT RN (EXECUTIVE DIRECTOR)
(845) 564-0010
Entity
Organization
Contact information
Practice address
356 MEADOW AVE, NEWBURGH, NY 12550-3038
(845) 564-0010
(845) 564-2579
Mailing address
356 MEADOW AVE, NEWBURGH, NY 12550-3038
(845) 564-0010
(845) 564-2579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03448515
—
NY
Enumeration date
11/11/2014
Last updated
11/11/2014
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