Healthcare Provider Details

I. General information

NPI: 1922289545
Provider Name (Legal Business Name): HUDSON VALLEY FERTILITY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 03/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 ROUTE 52
FISHKILL NY
12524-1516
US

IV. Provider business mailing address

1001 W FAYETTE ST SUITE 400
SYRACUSE NY
13204-2859
US

V. Phone/Fax

Practice location:
  • Phone: 845-705-3944
  • Fax: 845-559-2600
Mailing address:
  • Phone: 315-472-1488
  • Fax: 315-472-8060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL W. LEVINE
Title or Position: PRESIDENT
Credential: MD
Phone: 845-705-3944