Dr. James Grovenburg
Family Doctor - Addiction Medicine
5 Golden Ln
Kerhonkson
, New York 12446-1609
Dr. James Grovenburg
Family Doctor - Addiction Medicine
5 Golden Ln
Kerhonkson
, New York 12446-1609
(845) 626-4627
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. James Grovenburg
- 5 Golden Lane
- Kerhonkson, NY
- Zip : 12446
- Fax : (845) 626-4627
- Phone : (845) 626-3424
Second Address
- Dr. James Grovenburg
- 5 Golden Ln
- Kerhonkson, NY
- Zip : 12446-1609
- Fax : (845) 626-4627
- Phone : (845) 626-3424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 181048-1 | NY |
National Provider Identifier
| NPI | 1710022447 |
|---|---|
| Provider Name | Dr. James Grovenburg |
| First Address | Kerhonkson, NY 12446 |
| Second Address | Kerhonkson, NY 12446-1609 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2007 |
| Last Update Date | 02/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01805201 | (05) | NY |
| F62465 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.