Provider Demographics
NPI:1891284196
Name:HUDSON VALLEY OT,P.C
Entity Type:Organization
Organization Name:HUDSON VALLEY OT,P.C
Other - Org Name:HUDSON VALLEY OT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SABASHNEE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVENDER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L,CHT,CLT-LANA
Authorized Official - Phone:914-850-0195
Mailing Address - Street 1:8 MAPLEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-4412
Mailing Address - Country:US
Mailing Address - Phone:914-850-0195
Mailing Address - Fax:
Practice Address - Street 1:22 IBM RD STE 103
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5461
Practice Address - Country:US
Practice Address - Phone:845-514-0747
Practice Address - Fax:833-249-6221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009381225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty