Port Jervis Family Health Np Pc

Specialty details in registry · Port Jervis, NY

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At a glance

1 Cole St, Port Jervis, NY 12771-2217

NPPES record updated Jul 9, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1 Cole St
Port Jervis, NY 12771-2217

Professional details: NPI, taxonomy & registry record

NPI1063927358

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QP2300X
Enumeration date: Dec 8, 2017
Record updated: Jul 9, 2020

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QP2300X · Primary

License reported: 337610 NY

Specialty details in registry

261QP2300X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1 Cole St
Port Jervis, NY 12771-2217

Phone: (845) 856-6671
Fax: (845) 856-6671

Mailing address

7 SURREY RD

CHESTER, NY 109181106

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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