Bon Secours Charity Health System Medical Group, P.c.

NPI #1487694345 in Warwick, New York

Provider Information

NPI Number: 1487694345
Entity Type: Organization
Organization Name: Bon Secours Charity Health System Medical Group, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jun 8, 2006
Last Updated: Jul 14, 2021

Practice Location

Address: 20 GRAND ST
Address 2: 3RD FLOOR
City: Warwick
State: New York
ZIP Code: 10990-1035
Phone: (845) 987-3906

Authorized Official

Name: LAURI QUIGLEY
Title: CREDENTIALING MANAGER
Phone: (845) 987-3906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Gastroenterology — Gastroenterology	207RG0100X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Surgery	208600000X
Internal Medicine	207R00000X	Primary

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