Provider Demographics
NPI:1255502662
Name:WARWICK MEDICAL ASSOCIATES LLP
Entity Type:Organization
Organization Name:WARWICK MEDICAL ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:KOSTER
Authorized Official - Last Name:HOVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-988-0899
Mailing Address - Street 1:5 GRAND ST
Mailing Address - Street 2:PO BOX 677
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1007
Mailing Address - Country:US
Mailing Address - Phone:845-988-0899
Mailing Address - Fax:845-986-7496
Practice Address - Street 1:5 GRAND ST
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1007
Practice Address - Country:US
Practice Address - Phone:845-986-7885
Practice Address - Fax:845-986-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty