Organization
EMERGENCY PHYSICIAN SERVICES OF NEW YORK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MOUGANIS (DIRECTOR OF PE)
(856) 686-4394
Entity
Organization
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
PO BOX 636008, CINCINNATI, OH 45263-6008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02620675
—
NY
01
—
WNL581
NY EMPIRE MEDICARE
NY
Enumeration date
06/15/2006
Last updated
09/22/2020
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