Organization Name: | HUDSONVALLEYFAMILYDENTALSERVICES,P.C. |
NPI Number: | 1205060571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIPTI H PATEL (DENTIST) |
Mailing Address: | 1363 Route 9g Hyde Park |
State: | NY US |
Postal Code: | 125382162 |
Phone Number: | 8452292177 |
Fax Number: | 8452292178 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | NY39894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |