1. Home
  2. Directory
  3. New York
  4. Boiceville
  5. Family Medicine
  6. NPI Profile

MAVERICK FAMILY HEALTH
NPI 1851665947
Family Medicine in Boiceville, NY

Active since March 07, 2012
4080 STATE ROUTE 28 STE 1, BOICEVILLE, NY 12412(845) 657-7820(845) 657-6016 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maverick Family Health NPPES

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

MAVERICK FAMILY HEALTH (NPI 1851665947) is a healthcare organization registered as a family medicine in Boiceville, New York and active in the NPI registry since March 2012. The organization lists Martin David Krakower, Vice President, as its authorized official.

NPPES Registry Identity

NPI1851665947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAVERICK FAMILY MEDICAL, PC
Location Address4080 STATE ROUTE 28 STE 1Boiceville, NY 12412-5129
Mailing Address4080 State Route 28 Ste 1Boiceville, NY 12412-5129 · (845) 657-7820 · Fax (845) 657-6016
Phone(845) 657-7820
Fax(845) 657-6016
Organization SubpartNo
Authorized OfficialMartin David KrakowerVice President · (845) 657-7820
Enumeration DateMarch 7, 2012
✔ NPI 1851665947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4080 STATE ROUTE 28 STE 1, Boiceville, NY 12412
Open in Google Maps ↗

Other Names 1

Doing Business AsMaverick Family Health

Other Identifiers 2

Medicaid01907313NY
Medicare UPINB14951NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Maverick Family Medical, PC's NPI number?

The NPI number for Maverick Family Medical, PC is 1851665947. It was assigned to this organization in the NPPES registry on March 7, 2012. The provider is doing business as Maverick Family Health.

Where is Maverick Family Medical, PC located?

Maverick Family Medical, PC is located at 4080 State Route 28 Ste 1, Boiceville, NY 12412. The listed phone number is (845) 657-7820.

What is Maverick Family Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Maverick Family Medical, PC was last updated on March 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.