Provider Demographics
NPI:1952661274
Name:JOSEPH, KIRTI (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRTI
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:HUDSON VISTA MEDICAL PC
Mailing Address - Street 2:70 DUBOIS STREET, 5TH FLOOR ADMIN
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550
Mailing Address - Country:US
Mailing Address - Phone:845-458-4853
Mailing Address - Fax:845-458-4435
Practice Address - Street 1:HUDSON VISTA MEDICAL, PC
Practice Address - Street 2:21 LAUREL AVENUE, SUITE 280
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518
Practice Address - Country:US
Practice Address - Phone:845-534-7080
Practice Address - Fax:845-534-4171
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NY284597-1207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program