OrganizationActive
Columbia Memorial Regional Medical PLLC
NPI 1679166284 · Multi-Specialty Clinic/Center · Tannersville, NY
Provider details
- NPI number
- 1679166284
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Mahoney, Chief Financial Officer(518) 828-8090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6171 Route 23a
Tannersville, NY 12485
Phone: (518) 589-6843
Fax: (518) 589-6844
Street-level locationGet directions
Mailing address
Po Box 2000
Hudson, NY 12534-2000
Other names (DBA / former)
- Other name
- Tannersville Family Care
Registry dates
- Enumerated
- 2021-02-15
- Last updated
- 2021-07-21
- Certified
- 2021-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.