Healthcare Provider Details

I. General information

NPI: 1205022811
Provider Name (Legal Business Name): ORTHOPEDIC ASSOCIATES OF DUTCHESS COUNTY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 08/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WEBSTER AVE SUITE 400
POUGHKEEPSIE NY
12601-1361
US

IV. Provider business mailing address

1 WEBSTER AVE SUITE 400
POUGHKEEPSIE NY
12601-1361
US

V. Phone/Fax

Practice location:
  • Phone: 845-454-0120
  • Fax: 845-454-8454
Mailing address:
  • Phone: 845-454-0120
  • Fax: 845-454-8454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM W COLMAN
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 845-454-0120