MEDICARE: HUDSON RIVER DENTAL

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1417567611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON RIVER DENTAL

Provider Business Mailing Address
First Line	:	1 BALTIC PL STE 104
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-1642
Country	:	US
Telephone Number	:	914-271-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BALTIC PL STE 104
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-1642
Country	:	US
Telephone Number	:	914-271-6224
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT SCHWARTZ
Credential	:	DDS
Telephone Number	:	914-271-6224

Provider Enumeration Date	:	08/03/2020
Last Update Date	:	08/03/2020

Similar Medicare Providers

1780097527 — DR. SCOTT SCHWARTZ D.D.S.
Practice Location Address:

1 BALTIC PL STE 104
CROTON ON HUDSON, NY
10520-1642

Practice Phone: 914-271-6224
Practice Fax: 914-271-8384

1356554737 — TEODORA OMANA
Practice Location Address:

1926 ROBINWOOD RD APT I , HUDSON WOODS APARTMENTS
GASTONIA, NC
28054-1642

Practice Phone: 704-678-4029
Practice Fax:

1508869363 — DR. BARRY ALAN FIELDS DPM
Practice Location Address:

409 S RIVERSIDE AVE
CROTON ON HUDSON, NY
10520-3026

Practice Phone: 914-271-5819
Practice Fax: 914-271-5717

1104823863 — SUSAN MARIE TRAVIS CPNP
Practice Location Address:

35 S RIVERSIDE AVE , THE WESTCHESTER MEDICAL PRACTICE PC
CROTON ON HUDSON, NY
10520-2653

Practice Phone: 914-271-2424
Practice Fax: 914-271-2172

1023019809 — DAVID MICHAEL CHRISTENSEN MD
Practice Location Address:

87 GRAND ST
CROTON ON HUDSON, NY
10520-2518

Practice Phone: 914-271-6262
Practice Fax: 914-271-4839

1225039001 — MARTIN K MELMAN MD
Practice Location Address:

87 GRAND ST
CROTON ON HUDSON, NY
10520-2518

Practice Phone: 914-271-4845
Practice Fax: 914-271-4839

Directions to “HUDSON RIVER DENTAL ” Practice Location

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