Provider Demographics
NPI:1518167931
Name:HUDSON VALLEY MEDICAL HOUSE CALLS, P.C.
Entity Type:Organization
Organization Name:HUDSON VALLEY MEDICAL HOUSE CALLS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:N
Authorized Official - Last Name:MOTT
Authorized Official - Suffix:III
Authorized Official - Credentials:PA-C
Authorized Official - Phone:845-534-0066
Mailing Address - Street 1:367 WINDSOR HWY
Mailing Address - Street 2:SUITE 435
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7900
Mailing Address - Country:US
Mailing Address - Phone:845-534-0066
Mailing Address - Fax:845-784-1594
Practice Address - Street 1:685 SOUTH ST
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-4117
Practice Address - Country:US
Practice Address - Phone:845-534-0066
Practice Address - Fax:845-784-1594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223778207R00000X
NY008069363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty