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
PORT JERVIS MEDICAL, PLLC
Active
Organization
PORT JERVIS MEDICAL, PLLC
Active
Other names
Advanced Health
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RECKESS (PRACTICE ADMINISTRATOR)
(570) 491-4164
Entity
Organization
Contact information
Practice address
32 PINE TREE DR, POUGHKEEPSIE, NY 12603-5224
(845) 462-4000
Mailing address
32 PINE TREE DR, POUGHKEEPSIE, NY 12603-5224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
09/27/2010
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