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MONROE PRIMARY CARE MEDICAL PC
NPI 1578631669
Internal Medicine in Monroe, NY

Active since November 30, 2006
745 ROUTE 17M, SUITE 202, MONROE, NY 10950(845) 782-1714(845) 782-6648 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Monroe Primary Care Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONROE PRIMARY CARE MEDICAL PC (NPI 1578631669) is a healthcare organization registered as an internal medicine in Monroe, New York and active in the NPI registry since November 2006. The organization lists Boris Lavotshkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1578631669
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMONROE PRIMARY CARE MEDICAL PC
Location Address745 ROUTE 17M, SUITE 202Monroe, NY 10950-2660
Mailing AddressPo Box 834Monroe, NY 10949-0834 · (845) 782-1714 · Fax (845) 782-6648
Phone(845) 782-1714
Fax(845) 782-6648
Organization SubpartNo
Authorized OfficialBoris LavotshkinOwner · (845) 782-1714
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 6, 2012
✔ NPI 1578631669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 61220
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
745 ROUTE 17M, Monroe, NY 10950
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Other Identifiers 3

Medicare PIN23S481NY
Medicare UPINH34145NY
Medicaid02182598NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monroe Primary Care Medical PC's NPI number?

The NPI number for Monroe Primary Care Medical PC is 1578631669. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Monroe Primary Care Medical PC located?

Monroe Primary Care Medical PC is located at 745 Route 17M Suite 202, Monroe, NY 10950. The listed phone number is (845) 782-1714.

What is Monroe Primary Care Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Monroe Primary Care Medical PC was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.