Healthcare Provider Details

I. General information

NPI: 1881004109
Provider Name (Legal Business Name): STARTNEW MEDICAL, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2014
Last Update Date: 05/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 ROUTE 9 STE 11
WAPPINGERS FALLS NY
12590-4987
US

IV. Provider business mailing address

1207 ROUTE 9 STE 11
WAPPINGERS FALLS NY
12590-4987
US

V. Phone/Fax

Practice location:
  • Phone: 845-297-3200
  • Fax:
Mailing address:
  • Phone: 845-297-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE SPENCE
Title or Position: GENERAL MANAGER
Credential:
Phone: 845-297-3200