MEDICARE: HUDSON VALLEY ASTHMA AND ALLERGY ASSOCIATES 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	207KA0200X	Allergy Physician	098907	NY

General Provider Information

NPI Number	:	1740396993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON VALLEY ASTHMA AND ALLERGY ASSOCIATES PC

Provider Business Mailing Address
First Line	:	35 S RIVERSIDE AVE
Second Line	:	SUITE 106
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-2653
Country	:	US
Telephone Number	:	914-271-0001
Fax Number	:	914-271-0005

Provider Business Practice Location Address
First Line	:	35 S RIVERSIDE AVE
Second Line	:	SUITE 106
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-2653
Country	:	US
Telephone Number	:	914-271-0001
Fax Number	:	914-271-0005

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/PRESIDENT
Name	:	DR. NEIL CURTIS GOLDMAN
Credential	:	M.D.
Telephone Number	:	914-271-0001

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	09/02/2010

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