Organization
ELLENVILLE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER L SPERLING M.D. (OWNER)
(845) 647-5300
Entity
Organization
Contact information
Practice address
60 CENTER ST, ELLENVILLE, NY 12428-1313
(845) 647-3354
(845) 647-7487
Mailing address
60 CENTER ST, ELLENVILLE, NY 12428-1313
(845) 647-3354
(845) 647-7487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
095044
NY
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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