| Northside Medical, P.C. | |
|
978 Route 45 Suite 109a Pomona NY 10970-3521 | |
| (845) 354-7108 | |
| Not Available |
| Full Name | Northside Medical, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 978 Route 45, Pomona, New York |
| Authorized Official Name and Position | Gary Steven Herring (PRESIDENT) |
| Authorized Official Contact | 2018880021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical, P.C. 131 Craig Rd Hillsdale NJ 07642-1054 | Northside Medical, P.C. 978 Route 45 Suite 109a Pomona NY 10970-3521 Ph: (845) 354-7108 |
| NPI Number | 1649393307 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649393307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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