Provider Demographics
NPI:1497256598
Name:ROSENDALE MEDICAL CENTER URGENT CARE
Entity Type:Organization
Organization Name:ROSENDALE MEDICAL CENTER URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARIZONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-339-1515
Mailing Address - Street 1:117 MARYS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5849
Mailing Address - Country:US
Mailing Address - Phone:845-339-1515
Mailing Address - Fax:845-331-1996
Practice Address - Street 1:1089 ROUTE 32
Practice Address - Street 2:
Practice Address - City:ROSENDALE
Practice Address - State:NY
Practice Address - Zip Code:12472-9660
Practice Address - Country:US
Practice Address - Phone:845-658-9476
Practice Address - Fax:845-658-9745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care