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NPI Code Detail

MEDICARE: HUDSON VALLEY OPHTHALMOLOGY PLLC

MEDICARE: HUDSON VALLEY OPHTHALMOLOGY PLLC
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
1207W00000XOphthalmology 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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255342192
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUDSON VALLEY OPHTHALMOLOGY PLLC
Provider Business Mailing Address
First Line : 820 UNION ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 UNION ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3004
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Authorized Official
Title or Position : MEMBER
Name : SANFORD ULLMAN
Credential : M.D
Telephone Number : 518-828-3391
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/22/2010

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Practice Location Address:
820 UNION ST
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1932519808 — CARRIE WRIGHT MD
Practice Location Address:
820 UNION ST
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1992658546 — NAOMI SCHWENK LMSW
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430 E ALLEN ST
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Directions to “HUDSON VALLEY OPHTHALMOLOGY PLLC ” Practice Location

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