Provider Demographics
NPI:1821076951
Name:HUDSON VALLEY GASTROENTEROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:HUDSON VALLEY GASTROENTEROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSIMATIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-565-5630
Mailing Address - Street 1:277 QUASSAICK AVE
Mailing Address - Street 2:RT 94
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-7632
Mailing Address - Country:US
Mailing Address - Phone:845-565-5630
Mailing Address - Fax:845-565-5643
Practice Address - Street 1:277 QUASSAICK AVE
Practice Address - Street 2:RT 94
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-7632
Practice Address - Country:US
Practice Address - Phone:845-565-5630
Practice Address - Fax:845-565-5643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWLG841Medicare ID - Type UnspecifiedGROUP NUMBER