Organization Name: | ADVANCED PODIATRY ASSOCIATES OF THE HUDSON VALLEY LLP |
NPI Number: | 1053697219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW CICCONE (CHIEF OPERATING OFFICER) |
Mailing Address: | 1007 Route 82 Hopewell Junction |
State: | NY US |
Postal Code: | 125336165 |
Phone Number: | 8452792367 |
Fax Number: | 8452796216 |
NPI Enumeration Date: | 11/01/2011 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |