Provider Demographics
NPI:1598700619
Name:HUDSON VALLEY CARDIOLOGISTS,PC
Entity Type:Organization
Organization Name:HUDSON VALLEY CARDIOLOGISTS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-565-4400
Mailing Address - Street 1:5 JEANNE DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1702
Mailing Address - Country:US
Mailing Address - Phone:845-565-4400
Mailing Address - Fax:845-565-4822
Practice Address - Street 1:5 JEANNE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1702
Practice Address - Country:US
Practice Address - Phone:845-565-4400
Practice Address - Fax:845-565-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02520574Medicaid
NY02520574Medicaid