| General Surg. | |
|
1240 Ulster Ave Kingston NY 12401-1517 | |
| (845) 871-4275 | |
| (845) 871-4362 |
| Full Name | General Surg. |
|---|---|
| Speciality | Internal Medicine - Obesity Medicine |
| Location | 1240 Ulster Ave, Kingston, New York |
| Authorized Official Name and Position | John Berzinsky (VP FINANCE) |
| Authorized Official Contact | 8454759661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| General Surg. 1351 Route 55 Ste 200 Lagrangeville NY 12540-5128 Ph: (845) 475-9661 | General Surg. 1240 Ulster Ave Kingston NY 12401-1517 Ph: (845) 871-4275 |
| NPI Number | 1982220737 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 10/27/2020 |
| Certification Date | 10/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982220737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | () | Primary |
| 208600000X | Surgery | () | Secondary |
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