Organization
NORTHERN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADIPOTTI CHOUDRY MD (PRESIDENT)
(845) 592-4915
Entity
Organization
Contact information
Practice address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(845) 279-5168
Mailing address
159 BARNEGAT RD, POUGHKEEPSIE, NY 12601-5454
(845) 592-4915
(845) 592-4914
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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