MEDICARE: THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC

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	207RI0200X	Infectious Disease Physician	144650	NY

General Provider Information

NPI Number	:	1811072390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GREATER HUDSON VALLEY FAMILY HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	164 WILLOW AVE
Second Line	:
City	:	CORNWALL
State	:	NY
Zip	:	12518-1329
Country	:	US
Telephone Number	:	845-534-4024
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 WASHINGTON CTR
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-4627
Country	:	US
Telephone Number	:	845-563-8000
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	DR. PHILIP SMITH
Credential	:	MD
Telephone Number	:	845-563-8000

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/22/2020

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