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General NPI Number Information
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NPI Number | 1508073537
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY PODIATRY OBS PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 54 N PLANK RD
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City | NEWBURGH
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State | NY
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Zip | 12550-2116
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Country | US
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Telephone | 845-561-7646
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Fax |
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Provider Business Mailing Address
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Address Line | 54 NORTH PLANK ROAD
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City | NEWBURGH
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State | NY
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Zip | 12550
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Country | US
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Telephone | 845-561-7646
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTOS KYROU
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Credential |
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Telephone | 845-279-2367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 213EG0000X
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License Number State | NY
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