MEDICARE: THE HUDSON CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	000768-1	NY

General Provider Information

NPI Number	:	1003966011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HUDSON CENTER

Provider Business Mailing Address
First Line	:	276 HUDSON ST
Second Line	:
City	:	CORNWALL ON HUDSON
State	:	NY
Zip	:	12520-1016
Country	:	US
Telephone Number	:	845-534-2926
Fax Number	:	845-534-3518

Provider Business Practice Location Address
First Line	:	276 HUDSON ST
Second Line	:
City	:	CORNWALL ON HUDSON
State	:	NY
Zip	:	12520-1016
Country	:	US
Telephone Number	:	845-534-2926
Fax Number	:	845-534-3518

Authorized Official
Title or Position	:	PRESIDENT & EXECUTIVE DIRECTOR
Name	:	MR. DAVID HOLSTEIN
Credential	:	LMHC
Telephone Number	:	845-534-2926

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	08/22/2020

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Directions to “THE HUDSON CENTER ” Practice Location

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