Healthcare Provider Details

I. General information

NPI: 1124183975
Provider Name (Legal Business Name): NEW WINDSOR FAMILY MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

575 HUDSON VALLEY AVE SUITE 201
NEW WINDSOR NY
12553-4747
US

IV. Provider business mailing address

575 HUDSON VALLEY AVE SUITE 201
NEW WINDSOR NY
12553-4747
US

V. Phone/Fax

Practice location:
  • Phone: 845-220-2270
  • Fax: 845-220-2277
Mailing address:
  • Phone: 845-220-2270
  • Fax: 845-220-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN CHARLES REED
Title or Position: OWNER
Credential: MD
Phone: 845-220-2270