Hurley Avenue Family Medicine
Family Medicine in Stone Ridge, NY. Organization (NPI-2).
NPI number1669964706
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1669964706
- Entity type
- Organization (NPI-2)
- Legal business name
- Hurley Avenue Family Medicine
- Organization subpart
- Yes
- Enumeration date
- Jun 5, 2018
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Stone Ridge Family Practice (Other Name)
Practice location
10 Gagnon Dr.Stone Ridge, NY 12484
Phone 845-687-7455 · Fax 845-687-4685
Mailing address
10 Gagnon Dr.Stone Ridge, NY 12484
Phone 845-687-7455 · Fax 845-687-4685
Authorized official
Matthias Vonreusner
MD/Partner
8453382541
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Other Family Medicine Physician providers in Stone Ridge, NY
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