Organization Name: | HUDSON VALLEY RPA/PC |
NPI Number: | 1306074851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN MARIE KALKHUIS (CEO) |
Mailing Address: | 5 Woodward Rd West Nyack |
State: | NY US |
Postal Code: | 109942910 |
Phone Number: | 8453588328 |
Fax Number: | 8453588328 |
NPI Enumeration Date: | 06/23/2009 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |