Healthcare Provider Details

I. General information

NPI: 1972426708
Provider Name (Legal Business Name): BEAR MEDICAL PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1088 ROUTE 52 STE B
CARMEL NY
10512-4822
US

IV. Provider business mailing address

1511 ROUTE 22 STE 170
BREWSTER NY
10509-4020
US

V. Phone/Fax

Practice location:
  • Phone: 845-605-7692
  • Fax: 845-302-8586
Mailing address:
  • Phone: 845-605-7692
  • Fax: 845-302-8586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAWN TOCIDLOWSKI
Title or Position: OWNER
Credential: DO
Phone: 845-605-7692