COUNTRY MEDICINE – NPI #1467789206
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

COUNTRY MEDICINE is a provider located in CARMEL, NY. NPPES has assigned the NPI number 1467789206 to COUNTRY MEDICINE on November 16, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNTRY MEDICINE” is a dba name, the actual legal business name for this organization is SECOND OPINION MEDICINE, PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on May 01, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUNTRY MEDICINE below.

NPI Profile for
SECOND OPINION MEDICINE, PLLC

NPI Number
1467789206
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SECOND OPINION MEDICINE, PLLC
Doing Business As (dba): COUNTRY MEDICINE
Primary location
670 STONELEIGH AVE
CARMEL, NY 10512-3997
Phone: (914) 960-8055 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
P. CHARLES GARELL
PRESIDENT
Phone: (914) 960-8055
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
251F00000X
- Home Infusion

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.