TIMBER RIDGE MEDICAL ASSOC P.C. NPI 1073647673

NPI Information

  • NPI: 1073647673
  • Provider Name: TIMBER RIDGE MEDICAL ASSOC, P.C.
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • Address: 90 CRYSTAL RUN RD
    403
    MIDDLETOWN, NY
    ZIP 10941
  • Phone: (845) 703-8806

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NPI Details

TIMBER RIDGE MEDICAL ASSOC, P.C. is a pulmonary disease internal medicine in Middletown, NY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. TIMBER RIDGE MEDICAL ASSOC, P.C. NPI is 1073647673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

90 CRYSTAL RUN RD
403
MIDDLETOWN, NY
ZIP 10941-101
Phone: (845) 703-8806
Fax: (845) 703-9058

The provider's authorized official is Eileen Petrilak .
The authorized official title is Practice Manager and has the following contact phone number (845) 703-8806.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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