MEDICARE: MEDICAL SERVICES OF MANHASSET, 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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1659141679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SERVICES OF MANHASSET, PC

Provider Business Mailing Address
First Line	:	25 SMITH ST STE 210
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-2971
Country	:	US
Telephone Number	:	845-623-7100
Fax Number	:	845-732-8440

Provider Business Practice Location Address
First Line	:	25 SMITH ST STE 210
Second Line	:
City	:	NANUET
State	:	NY
Zip	:	10954-2971
Country	:	US
Telephone Number	:	845-623-7100
Fax Number	:	845-732-8440

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. DOUGLAS PUDER
Credential	:	MD
Telephone Number	:	845-623-7100

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/02/2024

Similar Medicare Providers

1912853722 — PHELPS FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORA
Practice Location Address:

25 SMITH ST STE 210
NANUET, NY
10954-2971

Practice Phone: 845-623-7100
Practice Fax:

1891968657 — DR. JOSEPH ANTHONY TACCETTA D.C.
Practice Location Address:

25 SMITH ST STE 202
NANUET, NY
10954-2971

Practice Phone: 845-623-6333
Practice Fax: 845-623-5333

1881910685 — KAY JUNG PT
Practice Location Address:

25 SMITH ST STE 202
NANUET, NY
10954-2971

Practice Phone: 845-623-6333
Practice Fax: 845-623-5333

1144674466 — HUDSON HEALTH PHYSICAL THERAPY, PLLC
Practice Location Address:

25 SMITH ST STE 202
NANUET, NY
10954-2971

Practice Phone: 845-623-6333
Practice Fax: 845-623-5333

1942748942 — HUDSON HEALTH CHIROPRACTIC, PLLC
Practice Location Address:

25 SMITH ST STE 202
NANUET, NY
10954-2971

Practice Phone: 845-623-6333
Practice Fax: 845-623-5333

1629774922 — BOLTROPE PODIATRY NY PLLC
Practice Location Address:

25 SMITH ST STE 204
NANUET, NY
10954-2971

Practice Phone: 845-623-5863
Practice Fax:

Directions to “MEDICAL SERVICES OF MANHASSET, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.