Organization
HUDSON VALLEY THORACIC & VASCULAR ASSOC. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLIS GINSBURG M.D. (PRESIDENT)
(845) 362-0075
Entity
Organization
Contact information
Practice address
70 HATFIELD LN, SUITE 202, GOSHEN, NY 10924-6734
(845) 291-3656
Mailing address
70 HATFIELD LN, SUITE 202, GOSHEN, NY 10924-6734
(845) 291-3656
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
147810
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
147810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558905
—
NY
Enumeration date
05/23/2006
Last updated
08/22/2013
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