Provider Demographics
NPI:1205060571
Name:HUDSONVALLEYFAMILYDENTALSERVICES,P.C.
Entity type:Organization
Organization Name:HUDSONVALLEYFAMILYDENTALSERVICES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIPTI
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:845-229-2177
Mailing Address - Street 1:1363 ROUTE 9G
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2162
Mailing Address - Country:US
Mailing Address - Phone:845-229-2177
Mailing Address - Fax:845-229-2178
Practice Address - Street 1:1363 ROUTE 9G
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2162
Practice Address - Country:US
Practice Address - Phone:845-229-2177
Practice Address - Fax:845-229-2178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY39894261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1477616316OtherNPI ENUMERATOR