Healthcare Provider Details

I. General information

NPI: 1861551368
Provider Name (Legal Business Name): OCHRYM MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3048 RT 22
DOWER PLAINS NY
12522
US

IV. Provider business mailing address

3048 RT 22
DOWER PLAINS NY
12522
US

V. Phone/Fax

Practice location:
  • Phone: 845-877-7216
  • Fax: 845-877-4635
Mailing address:
  • Phone: 845-877-7216
  • Fax: 845-877-4635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberBO3846245
License Number State

VIII. Authorized Official

Name: DR. RICHARD G OCHRYM
Title or Position: MD OWNER
Credential: MD
Phone: 845-877-7216