Organization Name: | HUDSON VALLEY MEDICAL DOCTORS |
NPI Number: | 1033443536 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK FOSTER (PRESIDENT) |
Mailing Address: | 14 Raymond Ave Poughkeepsie |
State: | NY US |
Postal Code: | 126032312 |
Phone Number: | 8454715519 |
Fax Number: | 8454712928 |
NPI Enumeration Date: | 09/30/2009 |
NPI Last Update Date: | 10/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 174350 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |