Provider Demographics
NPI:1770709214
Name:PEDIATRIC NEUROLOGY OF HUDSON VALLEY, PLLC
Entity type:Organization
Organization Name:PEDIATRIC NEUROLOGY OF HUDSON VALLEY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERBANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:845-627-0723
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-8195
Mailing Address - Country:US
Mailing Address - Phone:845-627-0723
Mailing Address - Fax:845-627-1009
Practice Address - Street 1:55 OLD NYACK TURNPIKE
Practice Address - Street 2:SUITE #101
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2449
Practice Address - Country:US
Practice Address - Phone:845-627-0723
Practice Address - Fax:845-627-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty