Organization
PRIME COLUMBIA GREENE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARANCE B HENRY M.D. (MEDICAL DIRECTOR/PRESIDENT)
(518) 943-1442
Entity
Organization
Contact information
Practice address
949 COLUMBIA STREET, HUDSON, NY 12534-2624
(518) 828-7188
(518) 828-2387
Mailing address
949 COLUMBIA STREET, HUDSON, NY 12534-2624
(518) 828-7188
(518) 828-2387
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305407-1
NY
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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