Organization · Type 2 NPI
Tabasco Family Practice PLLC
Addiction Medicine (Family Medicine) Physician · Kerhonkson, NY
NPI number
1073701579
Active
Practice location
5 Golden Ln
Kerhonkson, NY 12446-1609
Fax (845) 626-4627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 188450 (NY) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
About NPI 1073701579
Tabasco Family Practice PLLC's National Provider Identifier is 1073701579, issued on Oct 9, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Kerhonkson, NY. The record was last updated on Oct 9, 2007.