Organization
NORTHERN MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA FRANCESE (CREDENTIALING SPECIALIST)
(845) 592-4915
Entity
Organization
Contact information
Practice address
400 WESTAGE BUSINESS CTR DR STE 211, FISHKILL, NY 12524-2267
(845) 226-4590
(845) 896-6982
Mailing address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(845) 279-5168
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04755717
—
NY
Enumeration date
05/21/2020
Last updated
05/21/2020
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