Organization
ALICE HYDE MEDICAL CENTER
Active
Other names
Alice Hyde Medical Practices
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA M MACDONALD (CONTROLLER)
(518) 481-2212
Entity
Organization
Contact information
Practice address
133 PARK ST, MALONE, NY 12953-1243
(518) 483-3000
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 332-3658
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
04/19/2010
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