Provider Demographics
NPI:1073933313
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:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:LEHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:845-353-3267
Mailing Address - Street 1:300 E. ROUTE 50 SUITE 112
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3204
Mailing Address - Country:US
Mailing Address - Phone:845-353-3267
Mailing Address - Fax:845-353-3628
Practice Address - Street 1:300 E. ROUTE 59
Practice Address - Street 2:SUITE 112
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2850
Practice Address - Country:US
Practice Address - Phone:845-353-3267
Practice Address - Fax:845-353-3628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2081N0008X
NY208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty