Rondout Valley Family Med Pc
LBN: Rondout Valley Family Med Pc
Rondout Valley Family Med Pc is an health care organization with primary practice located at 10 Gagnon Dr , Stone Ridge NY 12484-5120. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Rondout Valley Family Med Pc can be contacted via phone (845) 687-9933, or through Petrulis, Peter James via phone (845) 687-9933.
Contact Information
Primary practice address
10 Gagnon Dr
Stone Ridge NY 12484-5120
Phone: (845) 687-9933
Fax: (845) 687-9953
Website:
Authorized official contact:
Name: Petrulis, Peter James Doctor of Osteopathy (DO)
Phone: (845) 687-9933
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 160527 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 008467-1 | New York |
Profile Details
| NPI number | 1679514004 |
|---|---|
| LBN Legal business name | Rondout Valley Family Med Pc |
| DBA Doing business as | |
| Authorized official | Petrulis, Peter James Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Oct 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679514004 | NPPES |
| New York | Other | 10031715 | CDPHN |
| New York | Other | 87726 | CDPHN |
| New York | MEDICAID | 00950523 | CDPHN |
| New York | Other | 3292 | CDPHN |
Popular Providers
-
Astra Health Center Of Lyons Llc
18 Lyons Mall , Basking Ridge NJ 07920-1928 -
Bernards Family Practice Llc
665 Martinsville Rd Ste 218 , Basking Ridge NJ 07920-4700 -
Primary Care Partners, Llc
665 Martinsville Rd Suite 218, Basking Ridge NJ 07920-4700 -
Louis V. Napolitano M.D., P.A.
245 Valley Blvd , Wood Ridge NJ 07075-1236 -
Hurley Avenue Family Medicine
10 Gagnon Dr. , Stone Ridge NY 12484 -
Gary E. Statmore M.D., P.A.
245 Valley Blvd , Wood Ridge NJ 07075-1236 -
Breckinridge Health Inc.
105 Chambliss Dr , Hardinsburg KY 40143-2575 -
96Th Street Urgent Care
376 96Th St Suite # 2, Stone Harbor NJ 08247-1404