Organization
MIDDLETOWN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PHILLIPS (EXECUTIVE ASSIST CEO)
(845) 342-4774
Entity
Organization
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W11581
MEDICARE
NY
Enumeration date
11/10/2016
Last updated
11/10/2016
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