# NORTHERN MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215593611
- **Authorized official:** JINGDUAN YANG MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (630) 361-6267

## Contact information

- **Practice address:** 14 JASON PLACE, SUITE 201, MIDDLETOWN, NY 10940
- **Practice address phone:** (630) 361-6267
- **Practice address fax:** (845) 625-1735
- **Mailing address:** 14 JASON PLACE, SUITE 201, MIDDLETOWN, NY 10940
- **Mailing address phone:** (845) 800-5118
- **Mailing address fax:** (845) 625-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2019
- **Last updated:** 08/27/2026