Provider Demographics
NPI:1437485497
Name:PLANNED PARENTHOOD OF MID HUDSON VALLEY
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD OF MID HUDSON VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PRACTICE MANAGEMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BUNORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-625-8327
Mailing Address - Street 1:178 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4165
Mailing Address - Country:US
Mailing Address - Phone:845-838-1200
Mailing Address - Fax:845-838-0726
Practice Address - Street 1:178 CHURCH ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4165
Practice Address - Country:US
Practice Address - Phone:845-838-1200
Practice Address - Fax:845-838-0726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00245258Medicaid