Organization
LIFEBRIDGE INC
Active
Other names
Hudson Vly Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD HINES (VICE PRESIDENT OF FINANCE)
(845) 473-2273
Entity
Organization
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 473-2273
(845) 790-0009
Mailing address
374 VIOLET AVE, POUGHKEEPSIE, NY 12601-1034
(845) 473-2273
(845) 790-0009
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02148492
—
NY
Enumeration date
06/22/2007
Last updated
08/22/2020
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