Healthcare Provider Details

I. General information

NPI: 1437485497
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF MID HUDSON VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 CHURCH ST
POUGHKEEPSIE NY
12601-4165
US

IV. Provider business mailing address

178 CHURCH ST
POUGHKEEPSIE NY
12601-4165
US

V. Phone/Fax

Practice location:
  • Phone: 845-838-1200
  • Fax: 845-838-0726
Mailing address:
  • Phone: 845-838-1200
  • Fax: 845-838-0726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURA ANNE BUNORA
Title or Position: DIRECTOR OF PRACTICE MANAGEMENT
Credential:
Phone: 845-625-8327