Active NPIIndividual provider

Mary E King, DO

Internal Medicine in Middletown, New York

NPI Number1124050497
Practice location
155 Crystal Run RD, Middletown, NY 10941-4028
Fax
845-703-6297
Last updated
February 20, 2024

Mary Ellen King is an Internal Medicine based in Middletown, NY. Mary Ellen King practices in Middletown, NY and has the professional credentials of DO. The NPI Number for Mary Ellen King is 1124050497 and holds a License No. 220224 (NY). The current practice location address for Mary Ellen King is 155 Crystal Run RD, Middletown, NY 10941-4028 and can be reached out via phone at 845-703-6999 and via fax at 845-703-6297.

Provider Profile Details

NPI Number
1124050497
Provider Name
Mary Ellen King
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
155 Crystal Run RD, Middletown, NY 10941-4028
Phone Number
845-703-6999
Fax Number
845-703-6297
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
July 7, 2006
Last Update Date
February 20, 2024
Certification Date
February 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4028
Zip
10941-4028
Phone Number
845-703-6999
Fax Number
845-703-6297
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4028
City
Middletown
State
NY
Zip
10941-4028
Phone Number
845-703-6999
Fax Number
845-703-6297

License Information

License Number (1)
220224
License State (1)
NY
Taxonomy (1)
Internal Medicine, Geriatric Medicine · 207RG0300X
License Number (2)
220224
License State (2)
NY
Taxonomy (2)
Internal Medicine · 207R00000X · Primary
License Number (3)
220224
License State (3)
NY
Taxonomy (3)
Hospitalist · 208M00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary E King, DO?

The NPI number of Mary E King, DO is 1124050497. It was assigned on July 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary E King, DO?

Mary E King, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NY under license number 220224.

Where does Mary E King, DO practice?

The practice location is 155 Crystal Run RD, Middletown, NY 10941-4028. The office can be reached at 845-703-6999 (phone) or 845-703-6297 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124050497 directly on the NPPES registry website.

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