Healthcare Provider Details

I. General information

NPI: 1871952952
Provider Name (Legal Business Name): HUDSON SENIOR DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S ROUTE 9W
HAVERSTRAW NY
10927-1714
US

IV. Provider business mailing address

1 S ROUTE 9W
HAVERSTRAW NY
10927-1714
US

V. Phone/Fax

Practice location:
  • Phone: 845-553-9303
  • Fax: 845-947-2668
Mailing address:
  • Phone: 845-553-9303
  • Fax: 845-947-2668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK JOESPH SANCHEZ
Title or Position: DIRECTOR
Credential: LNHA
Phone: 845-553-9303