| Cardinal Family Medicine, Pllc | |
| 
					20 Walnut St Ste C Montgomery NY 12549-2261  | |
| (845) 287-0037 | |
| (845) 764-9510 | 
| Full Name | Cardinal Family Medicine, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 20 Walnut St Ste C, Montgomery, New York | 
| Authorized Official Name and Position | Alexandria Danielle Howard (OWNER) | 
| Authorized Official Contact | 2165269619 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Cardinal Family Medicine, Pllc 97 Enterprise Dr # 11144 Newburgh NY 12550-8335 Ph: () -  | Cardinal Family Medicine, Pllc 20 Walnut St Ste C Montgomery NY 12549-2261 Ph: (845) 287-0037  | 
| NPI Number | 1396458642 | 
|---|---|
| Provider Enumeration Date | 01/03/2023 | 
| Last Update Date | 12/28/2024 | 
| Medicare PECOS PAC ID | 0143694364 | 
|---|---|
| Medicare Enrollment ID | O20230329001945 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396458642 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Alexandria Danielle Howard | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1336430545 PECOS PAC ID: 2567686314 Enrollment ID: I20181206002006  | 
Harvinder K. Chaudhry Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Montgomery, NY 12549 Phone: 845-457-3979  |