Healthcare Provider Details

I. General information

NPI: 1396825386
Provider Name (Legal Business Name): HUDSON VALLEY ENDOSCOPY CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WESTAGE BUSINESS CTR DR STE 202
FISHKILL NY
12524-2223
US

IV. Provider business mailing address

400 WESTAGE BUSINESS CTR DR STE 202
FISHKILL NY
12524-2223
US

V. Phone/Fax

Practice location:
  • Phone: 845-896-3636
  • Fax: 845-896-6343
Mailing address:
  • Phone: 845-896-3636
  • Fax: 845-896-6343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ANIL K SINGHANI
Title or Position: ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 845-896-3636