Maverick Family Medical, PC
NPI #1851665947 in Boiceville, New York
Provider Information
- NPI Number
- 1851665947
- Entity Type
- Organization
- Organization Name
- Maverick Family Medical, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 7, 2012
- Last Updated
- Mar 7, 2012
Practice Location
- Address
- 4080 STATE ROUTE 28 STE 1
- City
- Boiceville
- State
- New York
- ZIP Code
- 12412-5129
- Phone
- (845) 657-7820
Authorized Official
- Name
- DR. MARTIN DAVID KRAKOWER, MD
- Title
- VICE PRESIDENT
- Phone
- (845) 657-7820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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