Provider Demographics
NPI:1417258872
Name:GARCHITORENA, JAMES JUDE (PA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JUDE
Last Name:GARCHITORENA
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:972 ROUTE 45
Mailing Address - Street 2:SUITE 103
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3519
Mailing Address - Country:US
Mailing Address - Phone:914-362-1500
Mailing Address - Fax:914-362-1600
Practice Address - Street 1:972 ROUTE 45
Practice Address - Street 2:SUITE 103
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3519
Practice Address - Country:US
Practice Address - Phone:914-362-1500
Practice Address - Fax:914-362-1600
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2020-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY006616-1207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006616-1OtherNYS LICENSE NUMBER