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Organization
HAVERSTRAW FAMILY PRACTICE, P.C.
Active
Organization
HAVERSTRAW FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ERNESTO LUGO M.D. (PRESIDENT)
(845) 942-4512
Entity
Organization
Contact information
Practice address
61 NEW MAIN ST, HAVERSTRAW, NY 10927-1813
(845) 942-4512
(845) 942-4514
Mailing address
PO BOX 380, 61 NEW MAIN STREET, HAVERSTRAW, NY 10927-0380
(845) 942-4512
(845) 942-4514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208332
NY
Other
Enumeration date
10/11/2006
Last updated
05/07/2008
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