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Organization
NORTHERN MEDICAL GROUP, PLLC
Active
Organization
NORTHERN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M BUSHEY (BILLING MANAGER)
(845) 592-4915
Entity
Organization
Contact information
Practice address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(855) 703-7570
Mailing address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(855) 703-7570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04755717
—
NY
Enumeration date
10/07/2015
Last updated
05/13/2026
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