Pine Street Medical Pc

LBN: Pine Street Medical Pc
Pine Street Medical Pc is an health care organization with primary practice located at 140 Pine St , Kingston NY 12401-4948. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pine Street Medical Pc can be contacted via phone (845) 338-0050, or through Jobson, George W. Mark via phone (845) 338-0050.

Contact Information

Primary practice address
140 Pine St Kingston NY 12401-4948
Phone: (845) 338-0050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jobson, George W. Mark Doctor of Medicine (MD)
Phone: (845) 338-0050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 166060 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 166060 New York

Profile Details

NPI number 1689667438
LBN Legal business name Pine Street Medical Pc
DBA Doing business as
Authorized official Jobson, George W. Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 19th, 2007 - about 18 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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