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MID- HUDSON MEDICAL GROUP P C NPI 1043358815


NPI Information

NPI: 1043358815
Provider Name: MID- HUDSON MEDICAL GROUP P C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2264295

Address:
600 WESTAGE BUSINESS CTR DR
FISHKILL, NY
ZIP 12524
Phone: (845) 231-5560
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MID- HUDSON MEDICAL GROUP P C is a family medicine in Fishkill, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MID- HUDSON MEDICAL GROUP P C NPI is 1043358815. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 WESTAGE BUSINESS CTR DR
FISHKILL, NY
ZIP 12524-281
Phone: (845) 231-5560
Fax: (845) 231-5489

The provider's authorized official is Joseph A Garvey .
The authorized official title is Ceo, President & Chairman Of The Bd and has the following contact phone number (845) 231-5600.

The CLIA number assigned to this NPI record is 33D2264295 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 5/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102993768MEDICAIDNEW YORK
26223090001MEDICARE NSCNEW YORK
3C24343OTHERNEW YORKMEDICARE RR PTAN
4W00491MEDICARE PINNEW YORK
5D100052921MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.