Tri State Eye Ophthalmology Of Middletown Pc in Middletown - Specialist
Tri State Eye Ophthalmology Of Middletown Pc - NPI 1053430256
Tri State Eye Ophthalmology Of Middletown Pc is a Specialist in Middletown, New York. Tri State Eye Ophthalmology Of Middletown Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tri State Eye Ophthalmology Of Middletown Pc is 1053430256. The last update date is 2015-01-30.
Tri State Eye Ophthalmology Of Middletown Pc's current location address is 75 Crystal Run Rd, Middletown, New York. You can contact this provider via phone number 8457032020 and fax number 8457032901. The mailing address for Tri State Eye Ophthalmology Of Middletown Pc is 75 Crystal Run Rd, Middletown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri State Eye Ophthalmology Of Middletown Pc |
|---|---|
| Address | 75 Crystal Run Rd, Middletown, New York |
| Phone Number | 8457032020 |
| Fax Number | 8457032901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Palydowycz Bohdan Severin |
| Credentials | MD |
| Telephone Number | 5702969696 |
NPI Number Detail
| NPI Number | 1053430256 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-01-30 |
Provider Mailing Address Detail
| Address | 75 Crystal Run Rd |
|---|---|
| City | Middletown |
| State | New York (NY) |
| Post Code | 109417000 |
| Phone Number | 8457032020 |
| Fax Number | 8457032901 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD049303L |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Tri State Eye Ophthalmology Of Middletown Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Tri State Eye Ophthalmology Of Middletown Pc has been assigned the NPI (National Provider Identifier) 1053430256. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Tri State Eye Ophthalmology Of Middletown Pc is geographically located?
The Tri State Eye Ophthalmology Of Middletown Pc is physically situated at the following location: 75 Crystal Run Rd, Middletown, NY, 109417000.
What is Tri State Eye Ophthalmology Of Middletown Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tri State Eye Ophthalmology Of Middletown Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053430256 to Tri State Eye Ophthalmology Of Middletown Pc?
The Centers for Medicare & Medicaid Services assigned the 1053430256 to Tri State Eye Ophthalmology Of Middletown Pc on 2007-03-28.
As of what date were the details related to Tri State Eye Ophthalmology Of Middletown Pc most recently updated or revised?
The information pertaining to Tri State Eye Ophthalmology Of Middletown Pc, including its address, specialty, and other relevant details, was last updated or revised on 2015-01-30.