| Cardinal Family Medicine, Pllc | |
|
20 Walnut St Ste C Montgomery NY 12549-2261 | |
| (845) 287-0037 | |
| (845) 764-9510 |
| Full Name | Cardinal Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 20 Walnut St Ste C, Montgomery, New York |
| Authorized Official Name and Position | Alexandria Danielle Howard (OWNER) |
| Authorized Official Contact | 2165269619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Family Medicine, Pllc 97 Enterprise Dr # 11144 Newburgh NY 12550-8335 Ph: () - | Cardinal Family Medicine, Pllc 20 Walnut St Ste C Montgomery NY 12549-2261 Ph: (845) 287-0037 |
| NPI Number | 1396458642 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 06/27/2023 |
| Medicare PECOS PAC ID | 0143694364 |
|---|---|
| Medicare Enrollment ID | O20230329001945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396458642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexandria Danielle Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336430545 PECOS PAC ID: 2567686314 Enrollment ID: I20181206002006 |
Harvinder K. Chaudhry Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Walnut St, Montgomery, NY 12549 Phone: 845-457-3979 |