Organization
PREMIER MEDICAL GROUP OF THE HUDSON VALLEY P.C.
Active
Other names
Premier Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL KHURANA MD (CEO)
(845) 471-9410
Entity
Organization
Contact information
Practice address
50 EASTDALE AVE N, POUGHKEEPSIE, NY 12603
(845) 437-5000
Mailing address
243 NORTH RD, SUITE 304, POUGHKEEPSIE, NY 12601-1172
(845) 451-7251
(845) 471-7372
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7411960004
MEDICARE/DMEPOS
—
Enumeration date
05/01/2017
Last updated
01/29/2020
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