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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