Provider Demographics
NPI:1437242781
Name:HUDSON VALLEY LITHOTRIPSY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HUDSON VALLEY LITHOTRIPSY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-260-3127
Mailing Address - Street 1:9010 STRADA STELL CT. #103
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-4424
Mailing Address - Country:US
Mailing Address - Phone:239-260-3127
Mailing Address - Fax:855-335-4846
Practice Address - Street 1:101 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2317
Practice Address - Country:US
Practice Address - Phone:239-260-3127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-01
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
No261QL0400XAmbulatory Health Care FacilitiesClinic/CenterLithotripsyGroup - Single Specialty