Organization
CORNERSTONE FAMILY HEALTHCARE
Active
Organization
CORNERSTONE FAMILY HEALTHCARE
Active
Other names
The Greater Hudson Valley Family Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOLLY (CEO)
(845) 220-3165
Entity
Organization
Contact information
Practice address
147 LAKE STREET, NEWBURGH, NY 12550-5242
(845) 563-8000
(845) 563-8093
Mailing address
2570 ROUTE 9W, SUITE 10, CORNWALL, NY 12518-1323
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
332S00000X
Hearing Aid Equipment
000425
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00472931
—
NY
01
—
331832
MEDICARE ID
NY
01
—
WCW271
MEDICARE ID
NY
Enumeration date
09/13/2005
Last updated
01/19/2023
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