Provider Demographics
NPI:1578788055
Name:HUDSON VALLEY D.D.S.O.
Entity Type:Organization
Organization Name:HUDSON VALLEY D.D.S.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROHATGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-344-6500
Mailing Address - Street 1:42 RYKOWSKI LN
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-4018
Mailing Address - Country:US
Mailing Address - Phone:845-695-7300
Mailing Address - Fax:845-695-7388
Practice Address - Street 1:42 RYKOWSKI LANE
Practice Address - Street 2:SUITE 2
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941
Practice Address - Country:US
Practice Address - Phone:845-695-7300
Practice Address - Fax:845-695-7388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110028251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB20354Medicare UPIN