MEDICARE: MID HUDSON PSYCHIATRIC CONSULTANTS 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	261QM2500X	Medical Specialty Clinic/Center	176250	NY

General Provider Information

NPI Number	:	1356740336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MID HUDSON PSYCHIATRIC CONSULTANTS PC

Provider Business Mailing Address
First Line	:	23 BRISTOL DR
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10941-5205
Country	:	US
Telephone Number	:	845-344-2573
Fax Number	:	845-231-6078

Provider Business Practice Location Address
First Line	:	225 DOLSON AVE STE 206A
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-6570
Country	:	US
Telephone Number	:	845-344-2573
Fax Number	:	845-231-6078

Authorized Official
Title or Position	:	OWNER
Name	:	QUAZI AL-TARIQ
Credential	:	M.D.
Telephone Number	:	845-344-2573

Provider Enumeration Date	:	08/15/2014
Last Update Date	:	02/03/2026

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