# HILLSIDE HEALTH CARE R.N., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225190150
- **Authorized official:** MRS. BRENDA JOYCE ARDREY R.N. (PRESIDENT)
- **Authorized official phone:** (845) 440-3940

## Contact information

- **Practice address:** 260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
- **Practice address phone:** (845) 440-3940
- **Mailing address:** 260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
- **Mailing address phone:** (845) 440-3940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 443900-1 | NY | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01457478 | MEDICAID PROVIDER ID | NY |