Provider Demographics
NPI:1831483338
Name:HUDSON VALLEY MILK BANK, INC.
Entity Type:Organization
Organization Name:HUDSON VALLEY MILK BANK, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUCHET-HORWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:914-231-5065
Mailing Address - Street 1:9 HUDSON RD E
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-2611
Mailing Address - Country:US
Mailing Address - Phone:914-231-5065
Mailing Address - Fax:914-407-1718
Practice Address - Street 1:9 HUDSON RD E
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-2611
Practice Address - Country:US
Practice Address - Phone:914-231-5065
Practice Address - Fax:914-407-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site