Organization
HUDSON MOHAWK RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM BENDON (EXECUTIVE DIRECTOR)
(518) 272-3918
Entity
Organization
Contact information
Practice address
1724 5TH AVE, TROY, NY 12180-3320
(518) 272-3918
(518) 272-6391
Mailing address
1724 5TH AVE, TROY, NY 12180-3320
(518) 272-3918
(518) 272-6391
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
090510570
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679167
—
NY
01
—
900267
MVP INSURANCE
NY
Enumeration date
12/13/2006
Last updated
03/16/2015
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