Healthcare Provider Details

I. General information

NPI: 1740396993
Provider Name (Legal Business Name): HUDSON VALLEY ASTHMA AND ALLERGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 S RIVERSIDE AVE SUITE 106
CROTON ON HUDSON NY
10520-2653
US

IV. Provider business mailing address

35 S RIVERSIDE AVE SUITE 106
CROTON ON HUDSON NY
10520-2653
US

V. Phone/Fax

Practice location:
  • Phone: 914-271-0001
  • Fax: 914-271-0005
Mailing address:
  • Phone: 914-271-0001
  • Fax: 914-271-0005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number098907
License Number StateNY

VIII. Authorized Official

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