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NPI Code Detail

MEDICARE: NYMEDPUTNAM, INC.

MEDICARE: NYMEDPUTNAM, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility3950301NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851496749
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYMEDPUTNAM, INC.
Provider Business Mailing Address
First Line : 46 MOUNT EBO RD N
Second Line :
City : BREWSTER
State : NY
Zip : 10509-3600
Country : US
Telephone Number : 845-278-3636
Fax Number : 845-278-5723
Provider Business Practice Location Address
First Line : 46 MOUNT EBO RD N
Second Line :
City : BREWSTER
State : NY
Zip : 10509-3600
Country : US
Telephone Number : 845-278-3636
Fax Number : 845-278-5723
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. LAURENCE LADUE
Credential : LNHA
Telephone Number : 845-278-3636
Provider Enumeration Date : 09/14/2006
Last Update Date : 03/28/2008

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Directions to “NYMEDPUTNAM, INC. ” Practice Location

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