institution
Exodus Clinic Llc
Clinic/Center in Monroe, New York
NPI 1689988149

Exodus Clinic Llc is a Clinic/Center based in Middletown, NY. Exodus Clinic Llc practices in Monroe, NY. The NPI Number for Exodus Clinic Llc is 1689988149 and holds a License No. (New York).

The current practice location address for Exodus Clinic Llc is 671 State Route 17M, Monroe, NY and can be reached out via phone at 845-837-1635 and via fax at 845-837-1634.

Location: 671 State Route 17M, Monroe, NY, 10941-8124
institution
Provider Profile Details
NPI Number
1689988149
Provider Name
Exodus Clinic Llc
Credential
Provider Entity Type
Organization
Address
671 State Route 17M, Monroe, NY, 10941-8124
Phone Number
845-837-1635
Fax Number
845-837-1634
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
#2008-144 01 NY OASAS APPLICATION CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
671 State Route 17M
City
State
Zip
10950-3318
Phone Number
845-837-1635
Fax Number
845-837-1634
person
Provider Business Mailing Address Details
Address
671 State Route 17M
City
State
Zip
10950-3318
Phone Number
845-837-1635
Fax Number
845-837-1634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
(New York)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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