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

Rondout Valley Family Med PC

Organization Family Medicine Physician · NPI 1679514004

Rondout Valley Family Med PC is a Family Medicine Physician in Stone Ridge, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

10 Gagnon Dr
Stone Ridge, NY 12484-5120
Phone: (845) 687-9933
Fax: (845) 687-9953
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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 160527 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 008467-1 (NY)

Record details

NPI number1679514004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Petrulis — President · (845) 687-9933
NPI enumeratedJune 9, 2006
Last updated in NPPESOctober 9, 2007
Mailing addressPo Box 547, Stone Ridge, NY 12484-0547

Other providers in Stone Ridge