Healthcare Provider Details

I. General information

NPI: 1043126741
Provider Name (Legal Business Name): ADAPT OF THE HUDSON VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 SCHUTT ROAD EXT
MIDDLETOWN NY
10940-2597
US

IV. Provider business mailing address

80 MAIDEN LN FL 8
NEW YORK NY
10038-4783
US

V. Phone/Fax

Practice location:
  • Phone: 845-692-4444
  • Fax:
Mailing address:
  • Phone: 845-692-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AUDRA COON
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 845-695-2554