| Columbia Memorial Regional Medical Pllc | |
|
6171 Route 23a Tannersville NY 12485 | |
| (518) 589-6843 | |
| (518) 589-6844 |
| Full Name | Columbia Memorial Regional Medical Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 6171 Route 23a, Tannersville, New York |
| Authorized Official Name and Position | Bryan T. Mahoney (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5188288090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Memorial Regional Medical Pllc Po Box 2000 Hudson NY 12534-2000 Ph: (518) 697-3258 | Columbia Memorial Regional Medical Pllc 6171 Route 23a Tannersville NY 12485 Ph: (518) 589-6843 |
| NPI Number | 1679166284 |
|---|---|
| Provider Enumeration Date | 02/15/2021 |
| Last Update Date | 07/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679166284 | NPI | - | NPPES |
| 03227290 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Robert M Schneider Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rte 23 A, Tannersville, NY 12485 Phone: 518-589-6843 Fax: 518-589-6844 |