Provider Demographics
NPI:1174965412
Name:HOME MEDICAL OFFICE, P.C.
Entity type:Organization
Organization Name:HOME MEDICAL OFFICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO-NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-467-4735
Mailing Address - Street 1:18 ORCHARD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5005
Mailing Address - Country:US
Mailing Address - Phone:845-467-4735
Mailing Address - Fax:845-467-4736
Practice Address - Street 1:18 ORCHARD ST STE 100
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-5005
Practice Address - Country:US
Practice Address - Phone:845-467-4735
Practice Address - Fax:845-467-4736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty