Active NPIOrganization

Haverstraw Family Practice, P.c.

Family Medicine in Haverstraw, New York

NPI Number1720177694
Practice location
61 New Main St, Haverstraw, NY 10927-1813
Fax
845-942-4514
Last updated
May 7, 2008

Haverstraw Family Practice, P.c. is a healthcare organization based in Haverstraw, NY. Haverstraw Family Practice, P.c. practices in Haverstraw, NY. The NPI Number for Haverstraw Family Practice, P.c. is 1720177694 and holds a License No. 208332 (NY). The current practice location address for Haverstraw Family Practice, P.c. is 61 New Main St, Haverstraw, NY 10927-1813 and can be reached out via phone at 845-942-4512 and via fax at 845-942-4514.

Provider Profile Details

NPI Number
1720177694
Provider Name
Haverstraw Family Practice, P.c.
Provider Entity Type
Organization
Address
61 New Main St, Haverstraw, NY 10927-1813
Phone Number
845-942-4512
Fax Number
845-942-4514
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Jorge Ernesto Lugo, MD · President · 845-942-4512
Provider Enumeration Date
October 11, 2006
Last Update Date
May 7, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 New Main St
Haverstraw, NY 10927-1813
Zip
10927-1813
Phone Number
845-942-4512
Fax Number
845-942-4514
Haverstraw, NY 10927Get directions →

Provider Business Mailing Address Details

Address
Po Box 380
61 New Main Street
Haverstraw, NY 10927-0380
City
Haverstraw
State
NY
Zip
10927-0380
Phone Number
845-942-4512
Fax Number
845-942-4514

License Information

License Number
208332
License State
NY
Taxonomy
Family Medicine · 207Q00000X · Primary

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 Haverstraw Family Practice, P.c.?

The NPI number of Haverstraw Family Practice, P.c. is 1720177694. It was assigned on October 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Haverstraw Family Practice, P.c.?

Haverstraw Family Practice, P.c. is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 208332.

Where does Haverstraw Family Practice, P.c. practice?

The practice location is 61 New Main St, Haverstraw, NY 10927-1813. The office can be reached at 845-942-4512 (phone) or 845-942-4514 (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 1720177694 directly on the NPPES registry website.

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