Healthcare Provider Details

I. General information

NPI: 1598700619
Provider Name (Legal Business Name): HUDSON VALLEY CARDIOLOGISTS,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 JEANNE DR SUITE 7
NEWBURGH NY
12550-1702
US

IV. Provider business mailing address

5 JEANNE DR SUITE 7
NEWBURGH NY
12550-1702
US

V. Phone/Fax

Practice location:
  • Phone: 845-565-4400
  • Fax: 845-565-4822
Mailing address:
  • Phone: 845-565-4400
  • Fax: 845-565-4822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: COLLEEN D LANCASTER
Title or Position: OFFICE MANAGER
Credential:
Phone: 845-565-4400