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

Timber Ridge Medical Assoc, PC

Organization Pulmonary Disease Physician · NPI 1073647673

Timber Ridge Medical Assoc, PC provides Pulmonary Disease Physician services in Middletown, New York. Registered with an NPI since 2007.

In the registry since
2007
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

90 Crystal Run Rd 403
Middletown, NY 10941-7101
Phone: (845) 703-8806
Fax: (845) 703-9058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1073647673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eileen Petrilak — Practice Manager · (845) 703-8806
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address90 Crystal Run Rd, 403, Middletown, NY 10941-7101

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