Healthcare Provider Details

I. General information

NPI: 1225036908
Provider Name (Legal Business Name): STONY POINT MEDICAL ASSOC. PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LIBERTY SQUARE MALL
STONY POINT NY
10980-2400
US

IV. Provider business mailing address

6 LIBERTY SQUARE MALL
STONY POINT NY
10980-2400
US

V. Phone/Fax

Practice location:
  • Phone: 845-786-5544
  • Fax: 845-786-5229
Mailing address:
  • Phone: 845-786-5544
  • Fax: 845-786-5229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUMAN K SAWHNEY
Title or Position: DIRECTOR- OWNER
Credential: MD
Phone: 845-786-5544