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

Pine Street Medical PC

Organization Family Medicine Physician · NPI 1689667438

Pine Street Medical PC is a Family Medicine Physician in Kingston, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
Specialties on file
2
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

140 Pine St
Kingston, NY 12401-4948
Phone: (845) 338-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 166060 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 166060 (NY)

Record details

NPI number1689667438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Jobson — Director · (845) 338-0050
NPI enumeratedAugust 26, 2005
Last updated in NPPESJuly 19, 2007
Mailing address140 Pine St, Kingston, NY 12401-4948

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