| St. Peters Health Partners Medical Associates Pc | |
|
10 Gagnon Dr Stone Ridge NY 12484-5120 | |
| (548) 687-7455 | |
| Not Available |
| Full Name | St. Peters Health Partners Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Gagnon Dr, Stone Ridge, New York |
| Authorized Official Name and Position | Paul Gordon (CFO) |
| Authorized Official Contact | 5185251585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Peters Health Partners Medical Associates Pc 10 Gagnon Dr Stone Ridge NY 12484-5120 Ph: (548) 687-7455 | St. Peters Health Partners Medical Associates Pc 10 Gagnon Dr Stone Ridge NY 12484-5120 Ph: (548) 687-7455 |
| NPI Number | 1104257252 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104257252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hurley Avenue Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gagnon Dr., Stone Ridge, NY 12484 Phone: 845-687-7455 Fax: 845-687-4685 |