TRI STATE SURGICAL ASSOCIATES PLLC NPI 1801993175

NPI Information

TRI STATE SURGICAL ASSOCIATES PLLC is a specialist in Middletown, NY. The provider is 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. TRI STATE SURGICAL ASSOCIATES PLLC NPI is 1801993175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

384 CRYSTAL RUN RD
SUITE 201
MIDDLETOWN, NY
ZIP 10941-013
Phone: (845) 692-8780
Fax: (845) 692-3439

The provider's authorized official is Peter H Kwon .
The authorized official title is Corporation President and has the following contact phone number (845) 692-8780.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 1/31/2012.

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:

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