Healthcare Provider Details

I. General information

NPI: 1891783635
Provider Name (Legal Business Name): HUDSON VALLEY RADIATION ONCOLOGY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 N MAIN ST LOWER LEVEL
NEW CITY NY
10956-3821
US

IV. Provider business mailing address

130 N MAIN ST LOWER LEVEL
NEW CITY NY
10956-3821
US

V. Phone/Fax

Practice location:
  • Phone: 845-639-7500
  • Fax: 845-708-9037
Mailing address:
  • Phone: 845-639-7500
  • Fax: 845-708-9037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number2085R0001X
License Number StateNY

VIII. Authorized Official

Name: MS. GLORIA I ALARCON
Title or Position: MEDICAL ASSISTANT/OFFICE MANAGER
Credential: M.A.
Phone: 845-693-7500