Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MONROE PRIMARY CARE MEDICAL PC
Active
Organization
MONROE PRIMARY CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS LAVOTSHKIN MD (OWNER)
(845) 782-1714
Entity
Organization
Contact information
Practice address
745 ROUTE 17M, SUITE 202, MONROE, NY 10950-2660
(845) 782-1714
(845) 782-6648
Mailing address
PO BOX 834, MONROE, NY 10949-0834
(845) 782-1714
(845) 782-6648
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182598
—
NY
Enumeration date
11/30/2006
Last updated
07/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up