Organization
VASSAR BROTHERS MEDICAL CENTER
Active
Other names
Vassar Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE D. BEHRBOM (DIRECTOR)
(845) 475-9946
Entity
Organization
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
(845) 475-9915
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
(845) 475-9915
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1302001H
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00206
BLUE CROSS
—
05
—
00273854
—
NY
01
—
10019452
CDPHP
—
01
—
103527
WELLCARE
—
01
—
3527
GHI
—
01
—
70026
MVP
—
01
—
HO5540
OXFORD
—
Enumeration date
09/10/2015
Last updated
04/11/2022
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