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NPI Code Detail

MEDICARE: HUDSON VALLEY PALLIATIVE MEDICINE, PLLC

MEDICARE: HUDSON VALLEY PALLIATIVE MEDICINE, 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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician
2207Q00000XFamily Medicine Physician
3207QG0300XGeriatric Medicine (Family Medicine) Physician222211NY

General Provider Information

NPI Number : 1407174659
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUDSON VALLEY PALLIATIVE MEDICINE, PLLC
Provider Business Mailing Address
First Line : 67 SUNFLOWER CIR
Second Line :
City : WAPPINGERS FALLS
State : NY
Zip : 12590-7128
Country : US
Telephone Number : 914-374-9938
Fax Number : 845-883-5323
Provider Business Practice Location Address
First Line : 241 NORTH RD
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-1154
Country : US
Telephone Number : 845-483-5000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SUPRIYO DAS
Credential : M.D.
Telephone Number : 914-374-9938
Provider Enumeration Date : 05/12/2010
Last Update Date : 04/07/2026

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Practice Location Address:
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12601-1154
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1720086234 — VICTOR N OTVERTCHENKO M.D.
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1346248853 — WILLIAM NEIL SMOOKLER M.D.
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Directions to “HUDSON VALLEY PALLIATIVE MEDICINE, PLLC ” Practice Location

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