Healthcare Provider Details

I. General information

NPI: 1992921159
Provider Name (Legal Business Name): FIRSTCARE MEDICAL, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 RTE 299
HIGHLAND NY
12528-0696
US

IV. Provider business mailing address

222 RTE 299
HIGHLAND NY
12528
US

V. Phone/Fax

Practice location:
  • Phone: 845-691-3627
  • Fax: 845-255-6873
Mailing address:
  • Phone: 845-691-3627
  • Fax: 845-255-6873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number183371
License Number StateNY

VIII. Authorized Official

Name: DR. STEPHEN RICHARD WEINMAN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 845-691-3627