| Health Stream Medical Associates | |
|
17 Glenn Pond Road Suite 3 Red Hook NY 12571-1824 | |
| (845) 758-6046 | |
| (845) 758-6051 |
| Full Name | Health Stream Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 Glenn Pond Road, Red Hook, New York |
| Authorized Official Name and Position | Angela C Cavanna (DIRECTOR) |
| Authorized Official Contact | 8457586046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Stream Medical Associates 17 Glenn Pond Road Suite 3 Red Hook NY 12571-1824 Ph: (845) 758-6046 | Health Stream Medical Associates 17 Glenn Pond Road Suite 3 Red Hook NY 12571-1824 Ph: (845) 758-6046 |
| NPI Number | 1124013040 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 03/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124013040 | NPI | - | NPPES |
| 02616571 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Ka Bock Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Old Farm Rd, Red Hook, NY 12571 Phone: 845-758-0001 Fax: 845-758-0022 |