Provider Demographics
NPI:1275615809
Name:HUDSON VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES RLLP
Entity Type:Organization
Organization Name:HUDSON VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES RLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MACAGNONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-454-1942
Mailing Address - Street 1:159 BARNEGAT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5401
Mailing Address - Country:US
Mailing Address - Phone:845-454-1942
Mailing Address - Fax:845-452-4638
Practice Address - Street 1:159 BARNEGAT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5401
Practice Address - Country:US
Practice Address - Phone:845-454-1942
Practice Address - Fax:845-452-4638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW15091Medicare PIN
NY6662650001Medicare NSC