Rondout Valley Family Med PC

NPI #1679514004 in Stone Ridge, New York

Provider Information

NPI Number
1679514004
Entity Type
Organization
Organization Name
Rondout Valley Family Med PC
Primary Specialty
Family Medicine
Enumeration Date
Jun 9, 2006
Last Updated
Oct 9, 2007

Practice Location

Address
10 GAGNON DR
ZIP Code
12484-5120
Phone
(845) 687-9933

Authorized Official

Name
DR. PETER JAMES PETRULIS, D.O.
Title
PRESIDENT
Phone
(845) 687-9933

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Family Medicine

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