Maverick Family Medical, PC

NPI #1891765244 in Woodstock, New York

Provider Information

NPI Number
1891765244
Entity Type
Organization
Organization Name
Maverick Family Medical, PC
Primary Specialty
Family Medicine
Enumeration Date
Jan 26, 2006
Last Updated
May 3, 2010

Practice Location

Address
404 ZENA RD
ZIP Code
12498
Phone
(845) 679-5271

Authorized Official

Name
DR. RANDALL SIDNEY RISSMAN, M.D.
Title
PRESIDENT
Phone
(845) 679-5271

Specialties & Taxonomy Codes

Specialty
Family Medicine

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