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NPI Code Detail

MEDICARE: WEST HUDSON IMAGING ASSOCIATES, PLLC

MEDICARE: WEST HUDSON IMAGING ASSOCIATES, 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
1207U00000XNuclear Medicine PhysicianNY
22085N0700XNeuroradiology PhysicianNY
32085R0204XVascular & Interventional Radiology PhysicianNY
42085R0202XDiagnostic Radiology PhysicianNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982610713
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST HUDSON IMAGING ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 707 E MAIN ST
Second Line : RADIOLOGIC ASSOCIATES
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-343-0616
Fax Number : 845-343-0617
Provider Business Practice Location Address
First Line : 70 DUBOIS ST
Second Line : WEST HUDSON IMAGING
City : NEWBURGH
State : NY
Zip : 12550-4851
Country : US
Telephone Number : 845-568-2536
Fax Number : 845-568-2470
Authorized Official
Title or Position : PRESIDENT
Name : MR. JOSEPH LOUIS RACANELLI
Credential :
Telephone Number : 845-692-0030
Provider Enumeration Date : 08/01/2006
Last Update Date : 03/15/2019

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