Hurley Avenue Family Medicine
Organization Active NPI Family Medicine Physician · Stone Ridge, NY
NPI 1669964706 · NPPES record last updated Jun 5, 2018
Key facts
- NPI
- 1669964706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HURLEY AVENUE FAMILY MEDICINE
- Practice address
- 10 Gagnon Dr.
Stone Ridge, NY 12484 - Phone
- (845) 687-7455
- Fax
- (845) 687-4685
- NPI assigned
- Jun 5, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- HURLEY AVENUE FAMILY MEDICINE
Authorized official
- Name
- Matthias Vonreusner, MD
- Title
- MD/Partner
- Phone
- (845) 338-2541
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Hurley Ave Family Med PLLC
- Part of
- Hurley Ave Family Med PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
10 Gagnon Dr.
Stone Ridge, NY 12484
Mailing address
10 Gagnon Dr.
Stone Ridge, NY 12484
Phone (845) 687-7455
Other names
- Stone Ridge Family Practice
Other providers in Stone Ridge, NY
- Anthony Gaudioso
- Elizabeth M Gregory
- Timothy S Hefele
- Daniel Hoyt
- Kim A Hunter
- Sara Hutton
- Susan Karl
- Kathleen J. Caproni, PHD, Licensed Psychologist, PLLC
- Christy A. Keegan
- Kaitlyn Keisel-Stagnone
All providers in Stone Ridge, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.