Port Jervis Medical, Pllc
NPI #1912181660 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1912181660
- Entity Type
- Organization
- Organization Name
- Port Jervis Medical, Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 18, 2007
- Last Updated
- Sep 27, 2010
Practice Location
- Address
- 32 PINE TREE DR
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12603-5224
- Phone
- (845) 462-4000
Authorized Official
- Name
- JACOB RECKESS
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (570) 491-4164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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