Provider Demographics
NPI:1033123542
Name:HUDSON VALLEY NEUROSURGICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:HUDSON VALLEY NEUROSURGICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:OPPENHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-368-0286
Mailing Address - Street 1:2 CROSFIELD AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2233
Mailing Address - Country:US
Mailing Address - Phone:845-368-0286
Mailing Address - Fax:845-368-1653
Practice Address - Street 1:2 CROSFIELD AVE STE 102
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994
Practice Address - Country:US
Practice Address - Phone:845-368-0286
Practice Address - Fax:845-368-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178719174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1134136484OtherNPI #
NY1003823345OtherNPI #
NY1386820439OtherNPI#
NY1982611232OtherNPI#
NY1780709568OtherNPI#
NYD93242Medicare UPIN
NY1982611232OtherNPI#
NY1134136484OtherNPI #
NY1780709568OtherNPI#
NYWFP291Medicare PIN