Healthcare Provider Details

I. General information

NPI: 1417974593
Provider Name (Legal Business Name): ORTHOPEDIC ASSOC OF DUTCHESS COUNTY P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6511 SPRING BROOK AVE
RHINEBECK NY
12572-3709
US

IV. Provider business mailing address

6511 SPRING BROOK AVE
RHINEBECK NY
12572-3709
US

V. Phone/Fax

Practice location:
  • Phone: 845-876-7707
  • Fax: 845-876-2439
Mailing address:
  • Phone: 845-876-7707
  • Fax: 845-876-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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