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Organization
MID- HUDSON MEDICAL GROUP P C
Active
Organization
MID- HUDSON MEDICAL GROUP P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A GARVEY (CEO, PRESIDENT & CHAIRMAN OF THE BD)
(845) 231-5600
Entity
Organization
Contact information
Practice address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5560
(845) 231-5489
Mailing address
600 WESTAGE BUSINESS CTR DR, FISHKILL, NY 12524-2281
(845) 231-5600
(845) 231-5489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02993768
—
NY
01
—
C24343
MEDICARE RR PTAN
NY
Enumeration date
02/02/2007
Last updated
05/25/2012
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