Organization
VASSAR BROTHERS MEDICAL CENTER
Active
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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