Newburgh Internal Medicine,P.C.

LBN: Newburgh Internal Medicine,P.C.
Newburgh Internal Medicine,P.C. is an health care organization with primary practice located at 308 Fullerton Ave , Newburgh NY 12550-3722. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Newburgh Internal Medicine,P.C. can be contacted via phone (845) 561-1575, or through Jensen, Susan M via phone (845) 561-1575.

Contact Information

Primary practice address
308 Fullerton Ave Newburgh NY 12550-3722
Fax: (845) 561-1796
Website:
Authorized official contact:
Name: Jensen, Susan M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 138024 New York

Profile Details

NPI number 1033133632
LBN Legal business name Newburgh Internal Medicine,P.C.
DBA Doing business as
Authorized official Jensen, Susan M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033133632 NPPES
New York MEDICAID 00510563
New York MEDICAID 01034073

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