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Organization
NEWBURGH INTERNAL MEDICINE,P.C.
Active
Organization
NEWBURGH INTERNAL MEDICINE,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M JENSEN M.D. (PRESIDENT)
(845) 561-1575
Entity
Organization
Contact information
Practice address
308 FULLERTON AVE, NEWBURGH, NY 12550-3722
(845) 561-1575
(845) 561-1796
Mailing address
308 FULLERTON AVE, NEWBURGH, NY 12550-3722
(845) 561-1575
(845) 561-1796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
138024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00510563
—
NY
05
—
01034073
—
NY
Enumeration date
07/27/2006
Last updated
08/22/2020
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