Provider Demographics
NPI:1306028113
Name:HUDSON VALLEY ASTHMA & ALLERGY ASSCIATES, PC
Entity Type:Organization
Organization Name:HUDSON VALLEY ASTHMA & ALLERGY ASSCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-245-6700
Mailing Address - Street 1:3505 HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1283
Mailing Address - Country:US
Mailing Address - Phone:914-245-6700
Mailing Address - Fax:914-245-7839
Practice Address - Street 1:3505 HILL BLVD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1283
Practice Address - Country:US
Practice Address - Phone:914-245-6700
Practice Address - Fax:914-245-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098907207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW34642OtherGROUP
NY537161Medicare PIN
NYB16188Medicare UPIN
NYH11143Medicare UPIN
NYW34642OtherGROUP
NY94G551Medicare PIN
NY97G241Medicare PIN