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MONTE MARDER MD PC NPI 1780868489


NPI Information

NPI: 1780868489
Provider Name: MONTE MARDER MD PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3712 ROUTE 44
MILLBROOK, NY
ZIP 12545
Phone: (845) 677-6767
Get Directions

MONTE MARDER MD PC is a medical specialty clinic center in Millbrook, NY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MONTE MARDER MD PC NPI is 1780868489. The provider is registered as an organization entity type.

The provider's business location address is:

3712 ROUTE 44
MILLBROOK, NY
ZIP 12545
Phone: (845) 677-6767
Fax: (845) 677-8728

The provider's authorized official is Monte Marder .
The authorized official title is President and has the following contact phone number (845) 677-6767.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty164030NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126F611MEDICARE PIN
2E20477MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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