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Organization
HUDSON VISTA MEDICAL,PC
Active
Organization
HUDSON VISTA MEDICAL,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GIBNEY (SECRETARY)
(845) 568-2881
Entity
Organization
Contact information
Practice address
19 LAUREL AVE # LL1, CORNWALL, NY 12518-1403
(845) 534-7080
(845) 458-4435
Mailing address
70 DUBOIS STREET, 5TH FLOOR ADMINISTRATION, NEWBURGH, NY 12550
(845) 458-4855
(845) 458-4853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NY
208600000X
Surgery Physician
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03377979
—
NY
Enumeration date
06/15/2011
Last updated
01/28/2025
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