MEDICARE: HUDSON VALLEY RADIOLOGISTS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1073136438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON VALLEY RADIOLOGISTS, PC

Provider Business Mailing Address
First Line	:	2678 SOUTH RD STE 202
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-5254
Country	:	US
Telephone Number	:	845-790-5700
Fax Number	:	845-790-5719

Provider Business Practice Location Address
First Line	:	60 MICHAELS LN
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-6352
Country	:	US
Telephone Number	:	845-790-5700
Fax Number	:	845-790-5719

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD J FRIEDLAND
Credential	:
Telephone Number	:	845-790-5700

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	05/20/2020

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