Healthcare Provider Details

I. General information

NPI: 1245297613
Provider Name (Legal Business Name): HUDSON VALLEY EYE SURGEONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WESTAGE BUSINESS CTR DR
FISHKILL NY
12524-2264
US

IV. Provider business mailing address

200 WESTASE BUSINESS CENTER DRIVE
FISHKILL NY
12524
US

V. Phone/Fax

Practice location:
  • Phone: 845-896-9280
  • Fax: 845-896-0246
Mailing address:
  • Phone: 845-896-9280
  • Fax: 845-896-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC R BROCKS
Title or Position: MD OFFICER
Credential: MD
Phone: 845-896-9280