| Hurley Avenue Family Medicine | |
|
10 Gagnon Dr. Stone Ridge NY 12484 | |
| (845) 687-7455 | |
| (845) 687-4685 |
| Full Name | Hurley Avenue Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Gagnon Dr., Stone Ridge, New York |
| Authorized Official Name and Position | Matthias Vonreusner (MD/PARTNER) |
| Authorized Official Contact | 8453382541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hurley Avenue Family Medicine 10 Gagnon Dr. Stone Ridge NY 12484 Ph: (845) 687-7455 | Hurley Avenue Family Medicine 10 Gagnon Dr. Stone Ridge NY 12484 Ph: (845) 687-7455 |
| NPI Number | 1669964706 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669964706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St. Peters Health Partners Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gagnon Dr, Stone Ridge, NY 12484 Phone: 548-687-7455 |