Healthcare Provider Details
I. General information
NPI: 1730702986
Provider Name (Legal Business Name): HUDSON VALLEY RADIOLOGISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2020
Last Update Date: 05/22/2020
Certification Date: 05/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17 ARGENT DR
POUGHKEEPSIE NY
12603-6040
US
IV. Provider business mailing address
2678 SOUTH RD STE 202
POUGHKEEPSIE NY
12601-5254
US
V. Phone/Fax
- Phone: 845-790-5700
- Fax:
- Phone: 845-790-5700
- Fax: 845-790-5719
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
RICHARD
J
FRIEDLAND
Title or Position: PRESIDENT
Credential:
Phone: 845-790-5700