Provider Demographics
NPI:1598785933
Name:HUDSON VALLEY FAMILY PRACTICE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:HUDSON VALLEY FAMILY PRACTICE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:M
Authorized Official - Last Name:HEYMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-537-4900
Mailing Address - Street 1:2400 US ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-4725
Mailing Address - Country:US
Mailing Address - Phone:518-537-4900
Mailing Address - Fax:518-537-5977
Practice Address - Street 1:2400 US ROUTE 9
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-4725
Practice Address - Country:US
Practice Address - Phone:518-537-4900
Practice Address - Fax:518-537-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW20951Medicare PIN