Provider Demographics
NPI:1447378500
Name:PREMIER ENDOCRINOLOGY PLLC
Entity Type:Organization
Organization Name:PREMIER ENDOCRINOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:T
Authorized Official - Last Name:APEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-223-7000
Mailing Address - Street 1:PO BOX 1320
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-1320
Mailing Address - Country:US
Mailing Address - Phone:845-223-7000
Mailing Address - Fax:
Practice Address - Street 1:946 ROUTE 376
Practice Address - Street 2:SUITE 11
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6388
Practice Address - Country:US
Practice Address - Phone:845-223-7000
Practice Address - Fax:845-223-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241722207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WWP231Medicare PIN