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Contact Information

JOHN M SUPPLE, MD
3573 RT. 82
MILLBROOK, NY12545
 Phone: 845-677-0547
 Fax: 845-677-0547
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN M SUPPLE · (Male)

NPI # 1356596266
Status Active
Credentials MD
Entity Individual
Enumeration date 11/19/2008
Last updated 11/19/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 098946
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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