| Boiceville Maverick | |
|
4080 State Route 28 Boiceville NY 12412-5128 | |
| (845) 657-7820 | |
| (845) 657-7834 |
| Full Name | Boiceville Maverick |
|---|---|
| Speciality | Family Medicine |
| Location | 4080 State Route 28, Boiceville, New York |
| Authorized Official Name and Position | Michael Doyle (VP FINANCE) |
| Authorized Official Contact | 8454759661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boiceville Maverick 1351 Route 55 Suite 200 Lagrangeville NY 12540-5108 Ph: (845) 475-9661 | Boiceville Maverick 4080 State Route 28 Boiceville NY 12412-5128 Ph: (845) 657-7820 |
| NPI Number | 1780038885 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 04/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780038885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Maverick Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4080 State Route 28 Ste 1, Boiceville, NY 12412 Phone: 845-657-7820 Fax: 845-657-6016 |