Tri State Eye Ophthalmology Of Middletown PC
Specialist in Middletown, New York
1053430256- Practice location
- 75 Crystal Run RD, Suite 120, Middletown, NY 10941-7000
- Phone
- 845-703-2020
- Fax
- 845-703-2901
- Last updated
- January 30, 2015
Tri State Eye Ophthalmology Of Middletown PC is a healthcare organization based in Middletown, NY. Tri State Eye Ophthalmology Of Middletown PC practices in Middletown, NY. The NPI Number for Tri State Eye Ophthalmology Of Middletown PC is 1053430256 and holds a License No. MD049303L (NY). The current practice location address for Tri State Eye Ophthalmology Of Middletown PC is 75 Crystal Run RD, Suite 120, Middletown, NY 10941-7000 and can be reached out via phone at 845-703-2020 and via fax at 845-703-2901.
Provider Profile Details
- NPI Number
- 1053430256
- Provider Name
- Tri State Eye Ophthalmology Of Middletown PC
- Provider Entity Type
- Organization
- Address
- 75 Crystal Run RD, Suite 120, Middletown, NY 10941-7000
- Phone Number
- 845-703-2020
- Fax Number
- 845-703-2901
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Mr. Severin Bohdan Palydowycz, MD · Owner · 570-296-9696
- Other Names
- Tri State Eye Ophthalmology Of Middletown PC (Doing Business As)
- Provider Enumeration Date
- March 28, 2007
- Last Update Date
- January 30, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Crystal Run RD
Suite 120
Middletown, NY 10941-7000 - City
- Middletown
- State
- New York
- Zip
- 10941-7000
- Phone Number
- 845-703-2020
- Fax Number
- 845-703-2901
Provider Business Mailing Address Details
- Address
- 75 Crystal Run RD
Suite 120
Middletown, NY 10941-7000 - City
- Middletown
- State
- NY
- Zip
- 10941-7000
- Phone Number
- 845-703-2020
- Fax Number
- 845-703-2901
License Information
- License Number
- MD049303L
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Middletown, NY
View all Specialists in Middletown →Frequently Asked Questions
What is the NPI number of Tri State Eye Ophthalmology Of Middletown PC?
The NPI number of Tri State Eye Ophthalmology Of Middletown PC is 1053430256. It was assigned on March 28, 2007 and is currently active in the NPPES registry.
What is the specialty of Tri State Eye Ophthalmology Of Middletown PC?
Tri State Eye Ophthalmology Of Middletown PC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number MD049303L.
Where does Tri State Eye Ophthalmology Of Middletown PC practice?
The practice location is 75 Crystal Run RD, Suite 120, Middletown, NY 10941-7000. The office can be reached at 845-703-2020 (phone) or 845-703-2901 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053430256 directly on the NPPES registry website.