Provider Demographics
NPI:1629059365
Name:HUDSON VALLEY EAR, NOSE & THROAT, P. C.
Entity Type:Organization
Organization Name:HUDSON VALLEY EAR, NOSE & THROAT, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:888-350-1368
Mailing Address - Street 1:75 CRYSTAL RUN RD
Mailing Address - Street 2:BUILDING B, SUITE 220
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-7000
Mailing Address - Country:US
Mailing Address - Phone:888-350-1368
Mailing Address - Fax:845-692-0675
Practice Address - Street 1:75 CRYSTAL RUN RD
Practice Address - Street 2:BUILDING B, SUITE 220
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-7000
Practice Address - Country:US
Practice Address - Phone:888-350-1368
Practice Address - Fax:845-692-0675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199191207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEA041Medicare ID - Type UnspecifiedGROUP NUMBER