# MID HUDSON INTERVENTIONAL PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1861715633
- **Authorized official:** MRS. CATHY JILLSON (OFFICE MANAGER)
- **Authorized official phone:** (845) 565-5943

## Contact information

- **Practice address:** 21 N PLANK RD, NEWBURGH, NY 12550-2128
- **Practice address phone:** (845) 565-5943
- **Practice address fax:** (845) 234-4564
- **Mailing address:** 21 N PLANK RD, NEWBURGH, NY 12550-2128
- **Mailing address phone:** (845) 565-5943
- **Mailing address fax:** (845) 234-4564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 198896-1 | NY | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 03/09/2010