Provider Demographics
NPI:1639309578
Name:AMERICAN HORMONES, INC
Entity Type:Organization
Organization Name:AMERICAN HORMONES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GOVIND
Authorized Official - Middle Name:S
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-471-8378
Mailing Address - Street 1:69 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1351
Mailing Address - Country:US
Mailing Address - Phone:845-471-8378
Mailing Address - Fax:845-454-9988
Practice Address - Street 1:69 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1351
Practice Address - Country:US
Practice Address - Phone:845-471-8378
Practice Address - Fax:845-454-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCLIA 33D1047465291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory