Healthcare Provider Details

I. General information

NPI: 1407174659
Provider Name (Legal Business Name): HUDSON VALLEY PALLIATIVE MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 NORTH RD
POUGHKEEPSIE NY
12601-1154
US

IV. Provider business mailing address

67 SUNFLOWER CIR
WAPPINGERS FALLS NY
12590-7128
US

V. Phone/Fax

Practice location:
  • Phone: 845-483-5000
  • Fax:
Mailing address:
  • Phone: 914-374-9938
  • Fax: 845-883-5323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number222211
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: SUPRIYO DAS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 914-374-9938