| NPI | 1356651202 |
|---|---|
| Doing Business As | COUNTRY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | P. CHARLES GARELL Owner 845-244-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 251F00000X Home Infusion | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2025-03-09 |