Conway, Justin

Conway, Justin is an individual health care provider with primary practice located at 1200 Route 300 , Newburgh NY 12550-5003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Conway, Justin can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
1200 Route 300 Newburgh NY 12550-5003
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 284699 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 284699 New York

Profile Details

NPI number 1437416807
LBN Legal business name Conway, Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Aug 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437416807 NPPES
New York MEDICAID 04495098

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