| Organization Name: | HUDSON RIVER HEALTHCARE, INC |
| NPI Number: | 1740474535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNE K. NOLON (CEO) |
| Mailing Address: | 31 -37 West Broad Street Hudson River Healthcare, Inc. Haverstraw |
| State: | NY US |
| Postal Code: | 109271615 |
| Phone Number: | 8454294499 |
| Fax Number: | 8454295185 |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 5901200R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |