| Dutchess Medical Pc | |
|
696 Dutchess Tpke Ste B Poughkeepsie NY 12603-6445 | |
| (845) 473-4537 | |
| (845) 473-7804 |
| Full Name | Dutchess Medical Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 696 Dutchess Tpke Ste B, Poughkeepsie, New York |
| Authorized Official Name and Position | Luis Mendoza (OWNER) |
| Authorized Official Contact | 8454734537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dutchess Medical Pc 696 Dutchess Tpke Ste B Poughkeepsie NY 12603-6445 Ph: (845) 473-4537 | Dutchess Medical Pc 696 Dutchess Tpke Ste B Poughkeepsie NY 12603-6445 Ph: (845) 473-4537 |
| NPI Number | 1649314774 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649314774 | NPI | - | NPPES |
| 145488-3 | Other | NY | STATE MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 145488-3 (New York) | Primary |
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