Healthcare Provider Details

I. General information

NPI: 1730366790
Provider Name (Legal Business Name): HUDSON VALLEY FOOT ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HURLEY AVE
KINGSTON NY
12401-2829
US

IV. Provider business mailing address

103 HURLEY AVE
KINGSTON NY
12401-2829
US

V. Phone/Fax

Practice location:
  • Phone: 845-339-4191
  • Fax: 845-331-6894
Mailing address:
  • Phone: 845-339-4191
  • Fax: 845-331-6894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KELLY BRUCE
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 845-339-4191