MEDICARE: ROCKLAND NP FAMILY CARE PC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902283369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKLAND NP FAMILY CARE PC

Provider Business Mailing Address
First Line	:	7 ELDORADO DR
Second Line	:
City	:	CHESTNUT RDG
State	:	NY
Zip	:	10977-6407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 ELDORADO DR
Second Line	:
City	:	CHESTNUT RDG
State	:	NY
Zip	:	10977-6407
Country	:	US
Telephone Number	:	845-304-5906
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	REBECCA BETH BRICKMAN
Credential	:
Telephone Number	:	845-304-5906

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	05/05/2015

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