Provider Demographics
NPI:1659326536
Name:HUDSON VALLEY IMAGING, PC
Entity Type:Organization
Organization Name:HUDSON VALLEY IMAGING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:R
Authorized Official - Last Name:POPLAUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-734-3945
Mailing Address - Street 1:1980 CROMPOND RD
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4179
Mailing Address - Country:US
Mailing Address - Phone:914-734-3382
Mailing Address - Fax:914-734-3866
Practice Address - Street 1:1980 CROMPOND RD
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4179
Practice Address - Country:US
Practice Address - Phone:914-734-3382
Practice Address - Fax:914-734-3866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02390563Medicaid
NY02390563Medicaid