# RIVERSIDE MEDICAL PRACTICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hudson Cardiothoracic Surgeons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356374649
- **Authorized official:** DANIEL Z ARONZON MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (845) 483-6217

## Contact information

- **Practice address:** 1 COLUMBIA ST, SUITE 300, POUGHKEEPSIE, NY 12601-3923
- **Practice address phone:** (845) 483-0100
- **Practice address fax:** (845) 483-0200
- **Mailing address:** PO BOX 1171, POUGHKEEPSIE, NY 12602-1171
- **Mailing address phone:** (845) 483-6217
- **Mailing address fax:** (845) 483-6108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02632011 | — | NY |