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Individual

DAVID L HODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 MEDICAL PARK DRIVE, SUITE 3, W. NYACK, NY 10994
(845) 727-7733
(845) 727-7743
Mailing address
2 MEDICAL PARK DR, SUITE 3, WEST NYACK, NY 10994-1965
(845) 727-7733

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1270021
NY
207RP1001X
Pulmonary Disease Physician
Primary
1270021
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0018574
GHI HMO
05
00790276
NY
01
040426011550
FIDELIS MEDICAID HMO
01
070CZ1
EMPIRE BC/BS
NY
01
0D0702
HEALTH NET
01
101119
AETNA USHC
01
127002
LICENSE NUMBER
01
132995699
HUDSON HEALTH PLAN
01
172690
ONE HEALTH PLAN
01
270937303
MULTIPLAN
NY
01
270937303
GHI
01
341111
BC BS EMPIRE
01
5477042
AETNA
01
8204859013
CIGNA
NY
01
93968209
UHC
NY
Enumeration date
09/13/2005
Last updated
01/18/2013
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