Healthcare Provider Details

I. General information

NPI: 1003966011
Provider Name (Legal Business Name): THE HUDSON CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 HUDSON ST
CORNWALL ON HUDSON NY
12520-1016
US

IV. Provider business mailing address

276 HUDSON ST
CORNWALL ON HUDSON NY
12520-1016
US

V. Phone/Fax

Practice location:
  • Phone: 845-534-2926
  • Fax: 845-534-3518
Mailing address:
  • Phone: 845-534-2926
  • Fax: 845-534-3518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000768-1
License Number StateNY

VIII. Authorized Official

Name: MR. DAVID HOLSTEIN
Title or Position: PRESIDENT & EXECUTIVE DIRECTOR
Credential: LMHC
Phone: 845-534-2926