Provider Demographics
NPI:1255508586
Name:ROCKLAND FAMILY MEDICAL CARE P.C.
Entity Type:Organization
Organization Name:ROCKLAND FAMILY MEDICAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:OVSHAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-352-9292
Mailing Address - Street 1:6 MELNICK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3370
Mailing Address - Country:US
Mailing Address - Phone:845-352-9292
Mailing Address - Fax:845-352-1252
Practice Address - Street 1:6 MELNICK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3370
Practice Address - Country:US
Practice Address - Phone:845-352-9292
Practice Address - Fax:845-352-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220616261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care