Provider Demographics
NPI:1396049797
Name:ORTHOPEDIC ASSOC OF DUTCHESS COUNTY P C
Entity type:Organization
Organization Name:ORTHOPEDIC ASSOC OF DUTCHESS COUNTY P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:COLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-454-0120
Mailing Address - Street 1:3141 ROUTE 9W
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6709
Mailing Address - Country:US
Mailing Address - Phone:845-534-5768
Mailing Address - Fax:845-534-5917
Practice Address - Street 1:3141 ROUTE 9W
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-6709
Practice Address - Country:US
Practice Address - Phone:845-534-5768
Practice Address - Fax:845-534-5917
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORTHOPEDIC ASSOC OF DUTCHESS COUNTY P C
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-12-29
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty