AIRMONT PHYSICIAN SERVICES PLLC
Clinic/Center (Primary Care)

Address: 5 N Airmont Rd, Airmont, NY 10901-5101

AIRMONT PHYSICIAN SERVICES PLLC (NPI# 1760976559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760976559
Entity Type Organization
Organization Name AIRMONT PHYSICIAN SERVICES PLLC
Practice Address 5 N Airmont Rd
Airmont
NY 10901-5101
Practice Telephone 8455470300
Practice Fax Number 8455470301
Mailing Address 5 N Airmont Rd
Airmont
NY 10901-5101
Mailing Telephone 8455470300
Enumeration Date 2018-06-15
Last Update Date 2018-10-18
Authorized Official Telephone 8455470300
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
AFC URGENT CARE Doing Business As Name

Office Location

Street Address 5 N AIRMONT RD
City AIRMONT
State NY
Zip Code 10901-5101

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1376101790 Tenika Filomena Walters Licensed Practical Nurse 15 Suffen Place, Suffen, NY 10901 2019-05-31
1922563261 Matthew Abel Dietitian, Registered 156 Ny-59, A2, Suffern, NY 10901 2019-01-31
1609349422 Yona Newmark Behavioral Analyst 84 Route 59 Suite 102, Suffern, NY 10901 2019-01-03
1235606005 William M Mazariego Specialist/Technologist · Athletic Trainer 5 Tallman Pl, Suffern, NY 10901 2018-10-30
1013483494 Khrystyna Voronco · Khrystyna Popovychyk Registered Nurse 15 Suffern Place, Sufern, NY 10901 2018-10-23
1396237228 Stephanie N Freer Registered Nurse 15 Suffern Pl., Suffern, NY 10901 2018-06-06
1588102669 Lisa Arcuri Registered Nurse 15 Suffern Place Ste A, Suffern, NY 10901 2017-02-08
1194267146 Vichna Ginsburg Registered Nurse Ste A, 15 Suffern Place, Suffern, NY 10901 2016-11-08
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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City AIRMONT
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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