MEDICARE: PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C.

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1467290130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER MEDICAL GROUP OF THE HUDSON VALLEY, P.C.

Provider Business Mailing Address
First Line	:	243 NORTH RD STE 304
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-1173
Country	:	US
Telephone Number	:	845-471-9410
Fax Number	:

Provider Business Practice Location Address
First Line	:	946 ROUTE 376 STE 11
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6389
Country	:	US
Telephone Number	:	845-231-0310
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SUNIL KUMAR KHURANA
Credential	:	MD
Telephone Number	:	845-471-9410

Provider Enumeration Date	:	07/17/2024
Last Update Date	:	03/11/2026

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