Provider Demographics
NPI:1427368034
Name:HUDSON VALLEY TOTAL PODIATRIC SURGICAL CARE, PC
Entity Type:Organization
Organization Name:HUDSON VALLEY TOTAL PODIATRIC SURGICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOBRUTSKAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-236-1056
Mailing Address - Street 1:54 N PLANK RD
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2116
Mailing Address - Country:US
Mailing Address - Phone:718-236-1056
Mailing Address - Fax:
Practice Address - Street 1:54 N PLANK RD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2116
Practice Address - Country:US
Practice Address - Phone:718-236-1056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty