Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2005-10-26
- Last updated
- 2025-12-15
Specialties
Licenses
- License NY
- 5516
Location
- Practice location
- 6055 ROUTE 209
- City
- KERHONKSON NY
- Postal code
- 124463139
- Phone
- 845-626-7978
Organization contact
- Name
- ROBERT NEWELL JR
- Title
- Treasurer
- Phone
- 8457062901
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.