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Organization
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC
Active
Organization
HUDSON VALLEY HOSPITAL PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE SPAGNOLI PINE MD (OWNER)
(845) 342-7615
Entity
Organization
Contact information
Practice address
60 PROSPECT AVE, MIDDLETOWN, NY 10940-4133
(845) 342-7615
Mailing address
PO BOX 1013, GOSHEN, NY 10924-8013
(845) 615-1141
(845) 294-4333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02500530
—
NY
Enumeration date
05/26/2006
Last updated
08/22/2020
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