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NPI Code Detail

MEDICARE: HUDSON VISTA PHYSICIAN SERVICES PC

MEDICARE: HUDSON VISTA PHYSICIAN SERVICES 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
1207RP1001XPulmonary Disease Physician
2207RC0000XCardiovascular Disease Physician
3207RG0100XGastroenterology Physician
4207V00000XObstetrics & Gynecology Physician
5208600000XSurgery Physician
6207R00000XInternal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1164749115
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUDSON VISTA PHYSICIAN SERVICES PC
Provider Business Mailing Address
First Line : PO BOX 411905
Second Line :
City : BOSTON
State : MA
Zip : 02241-1905
Country : US
Telephone Number : 315-362-5279
Fax Number :
Provider Business Practice Location Address
First Line : 70 DUBOIS ST
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-4851
Country : US
Telephone Number : 845-561-4400
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF ENROLLMENT
Name : AMY SMITHEE
Credential :
Telephone Number : 315-362-5124
Provider Enumeration Date : 04/30/2010
Last Update Date : 06/01/2026

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