# MIDDLETOWN MEDICAL PC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790227536
- **Authorized official:** MELISSA PHILLIPS (EXECUTIVE ASSIST CEO)
- **Authorized official phone:** (845) 342-4774

## Contact information

- **Practice address:** 111 MALTESE DR, MIDDLETOWN, NY 10940-2115
- **Practice address phone:** (845) 342-4774
- **Practice address fax:** (845) 343-8741
- **Mailing address:** 111 MALTESE DR, MIDDLETOWN, NY 10940-2115
- **Mailing address phone:** (845) 342-4774
- **Mailing address fax:** (845) 343-8741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2016
- **Last updated:** 11/10/2016
