Provider Demographics
NPI:1912015629
Name:HUDSON VALLEY DIAGNOSTIC IMAGING, PLLC
Entity Type:Organization
Organization Name:HUDSON VALLEY DIAGNOSTIC IMAGING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHUMACI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-343-6368
Mailing Address - Street 1:575 HUDSON VALLEY AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-4747
Mailing Address - Country:US
Mailing Address - Phone:845-220-2222
Mailing Address - Fax:845-220-2241
Practice Address - Street 1:59 ROUTE 32
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553
Practice Address - Country:US
Practice Address - Phone:845-220-2222
Practice Address - Fax:845-220-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207U00000X, 2085N0700X, 2085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Not Answered2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Multi-Specialty
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Not Answered2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02380798Medicaid
NYWEH591Medicare ID - Type Unspecified