Provider Demographics
NPI:1912261066
Name:HUDSON VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, RLLP
Entity Type:Organization
Organization Name:HUDSON VALLEY HEMATOLOGY ONCOLOGY ASSOCIATES, RLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RMAMAOHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANCHERLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-454-1942
Mailing Address - Street 1:19 BAKER AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1375
Mailing Address - Country:US
Mailing Address - Phone:845-454-1942
Mailing Address - Fax:845-452-4638
Practice Address - Street 1:185 RYKOWSKI LN
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4055
Practice Address - Country:US
Practice Address - Phone:845-692-0090
Practice Address - Fax:845-673-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW15091OtherPTAN