# HUDSON COMMUNITY OPHTHALMOLOGY PC

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

## Provider details

- **NPI number:** 1457597122
- **Authorized official:** SHEILA HOFFMAN (OFFICE MANAGERT)
- **Authorized official phone:** (914) 737-6360

## Contact information

- **Practice address:** 1983 CROMPOND RD, CORTLANDT MANOR, NY 10567-4121
- **Practice address phone:** (914) 737-6360
- **Practice address fax:** (914) 736-7935
- **Mailing address:** 1983 CROMPOND RD, CORTLANDT MANOR, NY 10567-4121
- **Mailing address phone:** (914) 737-6360
- **Mailing address fax:** (914) 736-7935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 101443 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 955571 | NY | — |

## Other

- **Enumeration date:** 12/30/2008
- **Last updated:** 09/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1192210001 | MEDICARE DME SUPPLIER NUMBER | — |