Provider Demographics
NPI:1932304532
Name:DRS. WEEKS ENGEL AND LINDGREN FAMILY MEDICINE, PLLC
Entity Type:Organization
Organization Name:DRS. WEEKS ENGEL AND LINDGREN FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-340-9506
Mailing Address - Street 1:70 ONEIL ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3510
Mailing Address - Country:US
Mailing Address - Phone:845-340-9506
Mailing Address - Fax:
Practice Address - Street 1:70 ONEIL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3510
Practice Address - Country:US
Practice Address - Phone:845-340-9506
Practice Address - Fax:845-340-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02640980Medicaid
NY02640980Medicaid