Healthcare Provider Details

I. General information

NPI: 1295965713
Provider Name (Legal Business Name): HOSPITAL ATTENDING PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 10/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E MAIN ST
PORT JERVIS NY
12771-2253
US

IV. Provider business mailing address

484 TEMPLE HILL RD SUITE 104
NEW WINDSOR NY
12553-5529
US

V. Phone/Fax

Practice location:
  • Phone: 845-858-7000
  • Fax:
Mailing address:
  • Phone: 845-565-3700
  • Fax: 845-565-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY R RUVO
Title or Position: MEMBER
Credential: MD
Phone: 845-565-3700