Hurley Avenue Family Medicine
NPI #1669964706 in Stone Ridge, New York
Provider Information
- NPI Number
- 1669964706
- Entity Type
- Organization
- Organization Name
- Hurley Avenue Family Medicine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HURLEY AVENUE FAMILY MEDICINE
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 5, 2018
- Last Updated
- Jun 5, 2018
Practice Location
- Address
- 10 GAGNON DR.
- City
- Stone Ridge
- State
- New York
- ZIP Code
- 12484
- Phone
- (845) 687-7455
Authorized Official
- Name
- MATTHIAS VONREUSNER, MD
- Title
- MD/PARTNER
- Phone
- (845) 338-2541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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