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General NPI Number Information
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NPI Number | 1083668735
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY ENDOCRINOLOGY, P.C.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 29 CHURCH ST
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City | HIGHLAND
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State | NY
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Zip | 12528-1401
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Country | US
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Telephone | 845-691-4600
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Fax | 845-691-5546
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Provider Business Mailing Address
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Address Line | PO BOX 1557
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City | HIGHLAND
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State | NY
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Zip | 12528-8557
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Country | US
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Telephone | 845-691-4600
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Fax | 845-691-5546
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT ORTIZ
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Credential | M.D.
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Telephone | 845-691-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 212041
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License Number State | NY
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