Organization
COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MAHONEY (CHIEF FINANCIAL OFFICER)
(518) 828-8090
Entity
Organization
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-7601
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
07/13/2021
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