Provider Demographics
NPI:1043432420
Name:HUDSON VALLEY INTEGRATED MEDICINE PLLC
Entity Type:Organization
Organization Name:HUDSON VALLEY INTEGRATED MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OCONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-452-6418
Mailing Address - Street 1:110 MAIN ST
Mailing Address - Street 2:SUITE 2-E
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-6707
Mailing Address - Country:US
Mailing Address - Phone:845-452-6418
Mailing Address - Fax:845-452-6871
Practice Address - Street 1:110 MAIN ST
Practice Address - Street 2:SUITE 2-E
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-6707
Practice Address - Country:US
Practice Address - Phone:845-452-6418
Practice Address - Fax:845-452-6871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty