Organization
NYMEDPUTNAM, INC.
Active
Other names
d.b.a.Putnam Ridge/Putnam Commons RHCF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE LADUE LNHA (ADMINISTRATOR)
(845) 278-3636
Entity
Organization
Contact information
Practice address
46 MOUNT EBO RD N, BREWSTER, NY 10509-3600
(845) 278-3636
(845) 278-5723
Mailing address
46 MOUNT EBO RD N, BREWSTER, NY 10509-3600
(845) 278-3636
(845) 278-5723
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3950301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02085367
—
NY
Enumeration date
09/14/2006
Last updated
03/28/2008
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