Monroe Primary Care Medical PC

NPI #1578631669 in Monroe, New York

Provider Information

NPI Number: 1578631669
Entity Type: Organization
Organization Name: Monroe Primary Care Medical PC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 30, 2006
Last Updated: Jul 6, 2012

Practice Location

Address: 745 ROUTE 17M
Address 2: SUITE 202
City: Monroe
State: New York
ZIP Code: 10950-2660
Phone: (845) 782-1714

Authorized Official

Name: BORIS LAVOTSHKIN, MD
Title: OWNER
Phone: (845) 782-1714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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