| Physician At Newburgh | |
|
396 Broadway Kingston NY 12401-4626 | |
| (845) 331-3131 | |
| Not Available |
| Full Name | Physician At Newburgh |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 396 Broadway, Kingston, New York |
| Authorized Official Name and Position | Joseph J Calabro (OWNER) |
| Authorized Official Contact | 7322120060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician At Newburgh 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 Ph: (732) 212-0060 | Physician At Newburgh 396 Broadway Kingston NY 12401-4626 Ph: (845) 331-3131 |
| NPI Number | 1093190704 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093190704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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