Provider Demographics
NPI:1891783635
Name:HUDSON VALLEY RADIATION ONCOLOGY P.C.
Entity Type:Organization
Organization Name:HUDSON VALLEY RADIATION ONCOLOGY P.C.
Other - Org Name:ROCKLAND RADIATION ONCOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL ASSISTANT/OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ALARCON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:845-693-7500
Mailing Address - Street 1:130 N MAIN ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3821
Mailing Address - Country:US
Mailing Address - Phone:845-639-7500
Mailing Address - Fax:845-708-9037
Practice Address - Street 1:130 N MAIN ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3821
Practice Address - Country:US
Practice Address - Phone:845-639-7500
Practice Address - Fax:845-708-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2085R0001X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAK9004158OtherDEA NUMBER
NYA99406Medicare UPIN