Airmont Physician Services PLLC

Organization Active NPI Primary Care Clinic/Center · Airmont, NY

NPI 1760976559 · NPPES record last updated Oct 18, 2018

Key facts

NPI
1760976559
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
AIRMONT PHYSICIAN SERVICES PLLC
Practice address
5 N Airmont Rd
Airmont, NY 10901-5101
Phone
(845) 547-0300
Fax
(845) 547-0301
NPI assigned
Jun 15, 2018
Organization subpart
No

Authorized official

Name
Dr. Rajesh Gupta, MD
Title
Medical Director
Phone
(845) 547-0300

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2150095Airmont Physician Services PLLC
5 N Airmont Rd - Suite 4, Airmont, NY 10901
Certificate of waiverMar 26, 2027

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

5 N Airmont Rd
Airmont, NY 10901-5101

Mailing address

5 N Airmont Rd
Airmont, NY 10901-5101
Phone (845) 547-0300

Other providers in Airmont, NY

All providers in Airmont, NY · Primary Care Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.