Provider Demographics
NPI:1508802315
Name:HUDSON VALLEY GASTROENTEROLOGY PC
Entity Type:Organization
Organization Name:HUDSON VALLEY GASTROENTEROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-331-1136
Mailing Address - Street 1:26 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4522
Mailing Address - Country:US
Mailing Address - Phone:845-331-1136
Mailing Address - Fax:845-331-1433
Practice Address - Street 1:26 PEARL ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4522
Practice Address - Country:US
Practice Address - Phone:845-331-1136
Practice Address - Fax:845-331-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03549268Medicaid
NYHV0W4L9510Medicare PIN
NY86A351Medicare ID - Type UnspecifiedDR STECKMAN MEDICARE NO
NY01724441Medicaid