Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Monroe Primary Care Medical PC

Organization Internal Medicine Physician · NPI 1578631669

Monroe Primary Care Medical PC is an Internal Medicine Physician in Monroe, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

745 Route 17M Ste 202
Monroe, NY 10950-2660
Phone: (845) 782-1714
Fax: (845) 782-6648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 61220 (NY)

Record details

NPI number1578631669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Lavotshkin — Owner · (845) 782-1714
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 6, 2012
Mailing addressPo Box 834, Monroe, NY 10949-0834

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