Provider Demographics
NPI:1760423131
Name:FAMILY MEDICINE P C.
Entity Type:Organization
Organization Name:FAMILY MEDICINE P C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GAETAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMILUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-692-8338
Mailing Address - Street 1:825 ROUTE 211 E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1443
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:825 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1443
Practice Address - Country:US
Practice Address - Phone:845-692-8338
Practice Address - Fax:845-692-6177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212737207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty