NPI 1013068402

Managed Physical Network INC

Organisation Case Management Agency Kingston, NY

Practice location

Address: 505 Boices Ln, Kingston, NY 12401-1083
Phone: (845) 382-1870
Fax: (845) 382-1341
Mailing address: PO Box 8200, Kingston, NY 12402-8200

Authorised official

Name: John Desmet
Title: Coo
Phone: (763) 797-4821

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1013068402
Entity type: Organization
NPI issued: 15 Jan 2007
Record last updated: 28 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.