# HURLEY AVENUE FAMILY MEDICINE

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HURLEY AVENUE FAMILY MEDICINE
- **Other names:** Stone Ridge Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669964706
- **Legal business name:** HURLEY AVENUE FAMILY MEDICINE
- **Authorized official:** MATTHIAS VONREUSNER MD (MD/PARTNER)
- **Authorized official phone:** (845) 338-2541

## Contact information

- **Practice address:** 10 GAGNON DR., STONE RIDGE, NY 12484
- **Practice address phone:** (845) 687-7455
- **Practice address fax:** (845) 687-4685
- **Mailing address:** 10 GAGNON DR., STONE RIDGE, NY 12484
- **Mailing address phone:** (845) 687-7455
- **Mailing address fax:** (845) 687-4685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018