Organization
MEDICINE HORSE FARM CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE ANN POSTIGLIONE-DUPELL (CEO/ INSTRUCTOR)
(518) 566-7217
Entity
Organization
Contact information
Practice address
38 LIZZIES LANE, MORRISONVILLE, NY 12962
(518) 566-7217
Mailing address
38 LIZZIES LANE, MORRISONVILLE, NY 12962
(518) 566-7217
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03257509
MEDICAID PROVIDER #
NY
Enumeration date
02/21/2018
Last updated
02/21/2018
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