Provider Demographics
NPI:1700896743
Name:DERMATOLOGY & ALLERGY ASSOCIATES OF THE HUDSON VALLEY, LLP
Entity Type:Organization
Organization Name:DERMATOLOGY & ALLERGY ASSOCIATES OF THE HUDSON VALLEY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:P
Authorized Official - Last Name:BELTRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-454-0088
Mailing Address - Street 1:29 FOX ST
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-4714
Mailing Address - Country:US
Mailing Address - Phone:845-454-0088
Mailing Address - Fax:845-454-7099
Practice Address - Street 1:29 FOX ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4714
Practice Address - Country:US
Practice Address - Phone:845-454-0088
Practice Address - Fax:845-454-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081970-1207K00000X
NY176079-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEK291Medicare ID - Type Unspecified