Provider Demographics
NPI:1033704283
Name:INDEPENDENT MEDICAL CARE PC
Entity Type:Organization
Organization Name:INDEPENDENT MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:N
Authorized Official - Last Name:VERNATTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-645-5287
Mailing Address - Street 1:163 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:WESTTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10998-2824
Mailing Address - Country:US
Mailing Address - Phone:845-645-5287
Mailing Address - Fax:731-201-5499
Practice Address - Street 1:18 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5005
Practice Address - Country:US
Practice Address - Phone:845-381-5331
Practice Address - Fax:731-201-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty