Organization
HURLEY AVENUE FAMILY MEDICINE
Active
Parent organization
HURLEY AVENUE FAMILY MEDICINE
Other names
Stone Ridge Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
HURLEY AVENUE FAMILY MEDICINE
Authorized official
MATTHIAS VONREUSNER MD (MD/PARTNER)
(845) 338-2541
Entity
Organization
Contact information
Practice address
10 GAGNON DR., STONE RIDGE, NY 12484
(845) 687-7455
(845) 687-4685
Mailing address
10 GAGNON DR., STONE RIDGE, NY 12484
(845) 687-7455
(845) 687-4685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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