Provider Demographics
NPI:1477598605
Name:HUDSON VALLEY PSYCHIATRIC ASSOCIATES LLC
Entity Type:Organization
Organization Name:HUDSON VALLEY PSYCHIATRIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASCONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-339-3736
Mailing Address - Street 1:291 WALL ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3849
Mailing Address - Country:US
Mailing Address - Phone:845-339-3736
Mailing Address - Fax:845-339-3736
Practice Address - Street 1:291 WALL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3849
Practice Address - Country:US
Practice Address - Phone:845-339-3736
Practice Address - Fax:845-339-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG11430Medicare UPIN
NYH36509Medicare UPIN
NYW4L241Medicare PIN
NYA68140Medicare UPIN
NYB77902Medicare UPIN
NYQ71717Medicare UPIN
NYH05228Medicare UPIN
NYS87739Medicare UPIN
NYA400019162Medicare PIN
NYS70803Medicare UPIN
NYC10379Medicare UPIN
NYG44782Medicare UPIN
NYQ30145Medicare UPIN
NY944124L241Medicare PIN
NYI00082Medicare UPIN
NYS68828Medicare UPIN