Organization
PARTNERSHIP IN HEALTH C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHEA BADENHAUSEN M.D. (M.D.)
(315) 389-5181
Entity
Organization
Contact information
Practice address
652 STATE HIGHWAY 11C, WINTHROP, NY 13697-3244
(315) 389-5181
(315) 389-5183
Mailing address
PO BOX 208, WINTHROP, NY 13697-0208
(315) 389-5181
(315) 389-5183
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00654971
—
NY
Enumeration date
11/08/2007
Last updated
04/30/2008
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