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Organization

CATSKILL REGIONAL MEDICAL CENTER

Active
Other names
CRMC Physician Services
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DARLA MAY ARCIDIACONO (CREDENTIALING COORDINATOR)
(845) 794-3300
Entity
Organization

Contact information

Practice address
68 HARRIS BUSHVILLE RD, MONTICELLO, NY 12701-3027
(845) 794-3300
(845) 794-9868
Mailing address
PO BOX 421, HARRIS, NY 12742-0421
(845) 794-3300
(845) 794-9868

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
5263000H
NY
207RH0003X
Hematology & Oncology Physician
207RI0200X
Infectious Disease Physician
207V00000X
Obstetrics & Gynecology Physician
207ZC0500X
Cytopathology Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02339375
NY
Enumeration date
05/15/2006
Last updated
05/21/2010
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