Provider Demographics
NPI:1023354594
Name:PROMENADE AT MIDDLETOWN LLC
Entity type:Organization
Organization Name:PROMENADE AT MIDDLETOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-341-1888
Mailing Address - Street 1:70 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5251
Mailing Address - Country:US
Mailing Address - Phone:845-341-1888
Mailing Address - Fax:845-344-5577
Practice Address - Street 1:70 FULTON ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5251
Practice Address - Country:US
Practice Address - Phone:845-341-1888
Practice Address - Fax:845-344-5577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care