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NPI 1265026744

NPI 1265026744 : HUDSON VALLEY PEDIATRICS : PHILMONT, NY

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General NPI Number Information
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    NPI Number           |    1265026744
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUDSON VALLEY PEDIATRICS 
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Dates
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    Enumeration Date     |    02/24/2021
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    Last Update Date     |    02/24/2021
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Provider Practice Location Address
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    Address Line         |    11 ELM STREET 
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    City                 |    PHILMONT
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    State                |    NY
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    Zip                  |    12565
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    Country              |    US
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    Telephone            |    917-257-8785
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17 CORNELL ST 
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    City                 |    SCARSDALE
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    State                |    NY
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    Zip                  |    10583-7607
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    Country              |    US
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    Telephone            |    917-257-8785
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. SHAILAJA N SETTY 
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    Credential           |    MD
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    Telephone            |    917-257-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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