Provider Demographics
NPI:1396825386
Name:HUDSON VALLEY ENDOSCOPY CENTER, INC
Entity Type:Organization
Organization Name:HUDSON VALLEY ENDOSCOPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SINGHANI
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:845-896-3636
Mailing Address - Street 1:400 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:STE 202
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2223
Mailing Address - Country:US
Mailing Address - Phone:845-896-3636
Mailing Address - Fax:845-896-6343
Practice Address - Street 1:400 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:STE 202
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2223
Practice Address - Country:US
Practice Address - Phone:845-896-3636
Practice Address - Fax:845-896-6343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1320200ROtherDOH OPERATING CERTIFICATE
NY003635OtherEMPIRE BLUE CROSS BLUE SHIELD
NY02002591Medicaid
66449OtherAAAHC CERT OF ACCREDTATIO
NY490004820Medicare PIN
NY1320200ROtherDOH OPERATING CERTIFICATE