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NPI Code Detail

MEDICARE: DR. MATTHIAS VONREUSNER MD

MEDICARE: DR. MATTHIAS VONREUSNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician217336-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437140233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHIAS VONREUSNER MD
Provider Business Mailing Address
First Line : 211 HURLEY AVE
Second Line :
City : KINGSTON
State : NY
Zip : 12401-2400
Country : US
Telephone Number : 845-338-2541
Fax Number : 845-339-5058
Provider Business Practice Location Address
First Line : 211 HURLEY AVE
Second Line :
City : KINGSTON
State : NY
Zip : 12401-2400
Country : US
Telephone Number : 845-338-2541
Fax Number : 845-339-5058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 11/06/2009

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