Tabasco Family Practice Pllc
NPI #1073701579 in Kerhonkson, New York
Provider Information
- NPI Number
- 1073701579
- Entity Type
- Organization
- Organization Name
- Tabasco Family Practice Pllc
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 5 GOLDEN LN
- City
- Kerhonkson
- State
- New York
- ZIP Code
- 12446-1609
- Phone
- (845) 626-3424
Authorized Official
- Name
- DR. LUCINDA GROVENBURG, M.D.
- Title
- PRESIDENT
- Phone
- (845) 626-3424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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