Healthcare Provider Details
I. General information
NPI: 1871308379
Provider Name (Legal Business Name): HUDSON VALLEY RADIOLOGISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2025
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 EASTDALE AVE N
POUGHKEEPSIE NY
12603-1694
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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
J
FRIEDLAND
Title or Position: PRESIDENT
Credential:
Phone: 845-790-5700