Organization
HUDSON VALLEY KINETIC MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A FERGUSON (OWNER)
(518) 300-7164
Entity
Organization
Contact information
Practice address
69 GREEN AVE, CASTLETON, NY 12033-1212
(518) 300-7164
Mailing address
69 GREEN AVE, CASTLETON, NY 12033-1212
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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