RIVERVIEW PSYCHIATRIC MEDICINE PC
Ambulatory Health at Violet Ave, Poughkeepsie, NY

License number
New York 166228
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. RANDY IAN PARDELL M.D.
Title: PRESIDENT/DIRECTOR
Phone: (845) 471-1807
Address
Address
370 Violet Ave, Poughkeepsie, NY 12601
National Provider ID: 1174789812
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RIVERVIEW PSYCHIATRIC MEDICINE, PC

370 Violet Ave, Poughkeepsie, NY 12601

Registration:
Nov 8, 2004
State ID:
3123602
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Randy I Pardell Md, 370 Violet Ave, Poughkeepsie, NY 12601 (Physical)
Agent:
National Registered Agents, Inc,111 8 Ave, New York, NY 10011 (Physical)

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