MEDICARE: WOMENS MEDICAL CARE OF HUDSON VALLEY PC

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	207V00000X	Obstetrics & Gynecology Physician		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144372566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMENS MEDICAL CARE OF HUDSON VALLEY PC

Provider Business Mailing Address
First Line	:	9 HUDSON VALLEY PROFESSIONAL PLAZA
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550
Country	:	US
Telephone Number	:	845-561-0990
Fax Number	:	845-562-1439

Provider Business Practice Location Address
First Line	:	9 HUDSON VALLEY PROFESSIONAL PLAZA
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-3150
Country	:	US
Telephone Number	:	845-561-0990
Fax Number	:	845-562-1439

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREI BERNARD MUNZER
Credential	:	MD
Telephone Number	:	845-561-0990

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	09/17/2009

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