Healthcare Provider Details

I. General information

NPI: 1982555702
Provider Name (Legal Business Name): KINGSWOOD PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SHORE RD
CORNWALL ON HUDSON NY
12520-1244
US

IV. Provider business mailing address

303 SHORE RD
CORNWALL ON HUDSON NY
12520-1244
US

V. Phone/Fax

Practice location:
  • Phone: 845-857-8854
  • Fax:
Mailing address:
  • Phone: 845-857-8854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: GRETA FOWLIE
Title or Position: DR
Credential: MD
Phone: 845-857-8854