Enhanced Medical Care PC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

107113 Issued in NY

Legal business name

ENHANCED MEDICAL CARE PC

Practice address

170 Lake St
Liberty, NY 12754-1966

Phone

(845) 826-0060

NPI assigned

Jul 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Haldorsen, MDNPI 1427122464

Title

Owner

Phone

(845) 826-0060

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Haldorsen, M.D.

  • Family Medicine Physician
  • Spring Valley, NY
  • NPI 1427122464
  NPD Authorized official
• Brian K. Leggiere, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1609927540
  NPD (past)
• Tricia L Park, PH.D.

  • Clinical Psychologist
  • Endicott, NY
  • NPI 1548297724
  NPD (past)
• Charles Jay Sender, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1215943469
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1699063073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK AVE # 201",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773818",
            "telephone_number": "845-826-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 LAKE ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541966",
            "telephone_number": "845-826-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "HALDORSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-826-0060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "107113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Empire Wound Physician Services, PLLC
• Empowered and Resilient Minds LLC
• Sherry Eros, M.D.
• Exceldent Dental of Western Sullivan LLP
• Olivia Helen Fairweather, MA
• Andrea Marie Falcone, PT
• Family Footcare Group,LLP

• Legal Medicine in Liberty, NY
• Providers in Liberty, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.