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Organization
ROUTE 22 MEDICAL PC
Active
Organization
ROUTE 22 MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIGIA GINA NOTARISTEFANO MD (PRACTITIONER)
(845) 278-8797
Entity
Organization
Contact information
Practice address
1591 ROUTE 22, BREWSTER, NY 10509-4026
(845) 278-8797
(845) 278-8798
Mailing address
1591 ROUTE 22, BREWSTER, NY 10509
(845) 278-8797
(845) 278-8798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
203453
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02222755
—
NY
Enumeration date
10/17/2006
Last updated
08/18/2008
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