Organization
HAVERSTRAW FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE ERNESTO LUGO M.D. (PRESIDENT)
(845) 942-4512
Entity
Organization
Contact information
Practice address
61 NEW MAIN ST, HAVERSTRAW, NY 10927-1813
(845) 942-4512
(845) 942-4514
Mailing address
PO BOX 380, 61 NEW MAIN STREET, HAVERSTRAW, NY 10927-0380
(845) 942-4512
(845) 942-4514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005720
COMMUNITY CHOICE
NY
05
—
01814819
—
NY
01
—
040426012056
FIDELIS
NY
01
—
1000000194
AFFINITY
NY
01
—
134973
AETNA
NY
01
—
172321P
HIP
NY
01
—
221824
WELLCARE
NY
01
—
393729
MVP
NY
01
—
396995
CONNECTICARE
NY
01
—
46V621
EMPIRE BC/BS
NY
01
—
4C5847
HEALTHNET
NY
01
—
5997592
GHI
NY
01
—
P2543357
OXFORD
NY
Enumeration date
10/11/2006
Last updated
05/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us